Active NPI
Amy Fink, M.S; SLP
- Speech-Language Pathologist
- Jamaica, NY
National Provider Identifier
1265767362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 015250-1
- Practice address
- 16005 Highland Ave
Jamaica, NY 11432-3435 - Phone
- (718) 658-5407
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 015250-1 | NY | Primary |
Addresses
Primary practice location
16005 Highland Ave
Jamaica, NY 11432-3435
Mailing address
301 Burns St
Forest Hills, NY 11375-6131
Phone (516) 835-2912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015250-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627948800000",
"number": "1265767362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 BURNS ST",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113756131",
"telephone_number": "516-835-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16005 HIGHLAND AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114323435",
"telephone_number": "718-658-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "AMY",
"name_prefix": "Ms.",
"credential": "M.S; SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2021-08-03",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "015250-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.