Active NPI
Flor Catherine Camilo, M,ED.
- Speech-Language Pathologist
- East Elmhurst, NY
National Provider Identifier
1265833008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 025148
- Practice address
- 3136 88TH St
East Elmhurst, NY 11369-1415 - Phone
- (718) 205-1919
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 025148 | NY | Primary |
Addresses
Primary practice location
3136 88TH St
East Elmhurst, NY 11369-1415
Mailing address
896 Glenmore Ave
Brooklyn, NY 11208-2531
Phone (347) 482-4479
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 |
|---|---|---|---|
| 025148 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Children'S Services | Past | Accepting new patients | |
| Jackson Developmental Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- East Elmhurst, NY
- NPI 1205061926
-
- Local Education Agency (LEA)
- East Elmhurst, NY
- NPI 1386944965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1265833008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 GLENMORE AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082531",
"telephone_number": "347-482-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 88TH ST",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113691415",
"telephone_number": "718-205-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMILO",
"first_name": "FLOR",
"middle_name": "CATHERINE",
"credential": "M,ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.