Paulina Otalora

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

021962 Issued in NY

Practice address

1670 James St
North Merrick, NY 11566-1970

Phone

(718) 593-4121

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1265793608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 JAMES ST",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661970",
            "telephone_number": "718-593-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 JAMES ST",
            "city": "NORTH MERRICK",
            "state": "NY",
            "postal_code": "115661970",
            "telephone_number": "718-593-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTALORA",
        "first_name": "PAULINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ira Lyle Miness, D.D.S.
• Brooke Mittleberg
• No Merrick Fire Dist
• North Merrick Ufsd
• Javier Otalora
• Hinal V Patel, PT
• Matthew Quinterno, PSYD
• Kim Rahner
• Jamie Lynn Rockwin, B.S.,M.A.,P.T.
• Nicole Kristen Rowe, LPN

• Speech-Language Pathologist in North Merrick, NY
• Providers in North Merrick, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.