Active NPI
Elise T Suchocki, SLP
- Speech-Language Pathologist
- Newington, CT
National Provider Identifier
1275153728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002378
- Practice address
- 137 Tremont St
Newington, CT 06111-4740 - Phone
- (860) 989-4389
- NPI assigned
- Apr 24, 2020
- 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 | 002378 | CT | Primary |
Addresses
Primary practice location
137 Tremont St
Newington, CT 06111-4740
Mailing address
137 Tremont St
Newington, CT 06111-4740
Phone (860) 989-4389
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Newington |
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 |
|---|---|---|---|
| 002378 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1275153728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 TREMONT ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061114740",
"telephone_number": "860-989-4389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 TREMONT ST",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061114740",
"telephone_number": "860-989-4389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHOCKI",
"first_name": "ELISE",
"middle_name": "T",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "002378",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Newington",
"affiliation": "N",
"address_1": "137 Tremont St",
"city": "Newington",
"state": "CT",
"country_code": "US",
"postal_code": "061114740",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Newington, CT
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- Peter A Swota, DPT
- Asma Syeda, MBBS
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.