A B Speech LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

A B SPEECH LLC

Practice address

6623 Alderton St
Rego Park, NY 11374-5205

Phone

(347) 393-9701

NPI assigned

Oct 3, 2022

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angelina Pulatov, M.EDNPI 1457764060

Title

CCC-SLP

Phone

(347) 393-9701

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelina Pulatov, M.ED, CCC-SLP

  • Speech-Language Pathologist
  • Forest Hills, NY
  • NPI 1457764060
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1255055307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6623 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745205",
            "telephone_number": "347-393-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745205",
            "telephone_number": "347-393-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A B SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "PULATOV",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "CCC-SLP",
        "authorized_official_telephone_number": "347-393-9701",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rego Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.