Active NPI
Speech Therapy Professional, PLLC
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1255868022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 014342
- Legal business name
- SPEECH THERAPY PROFESSIONAL, PLLC
- Practice address
- 326 Whitman Dr
Brooklyn, NY 11234-6933 - Phone
- (646) 637-6918
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert James Gabelman, M.S. CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (646) 637-6918
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 014342 | NY | Primary |
Addresses
Primary practice location
326 Whitman Dr
Brooklyn, NY 11234-6933
Mailing address
326 Whitman Dr
Brooklyn, NY 11234-6933
Phone (646) 637-6918
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03790654 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Speech Professional PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1669601142
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1740429448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1255868022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 WHITMAN DR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346933",
"telephone_number": "646-637-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WHITMAN DR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346933",
"telephone_number": "646-637-6918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH THERAPY PROFESSIONAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "GABELMAN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "646-637-6918",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "014342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03790654",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.