Individual provider Active NPI

Emmanoyil Vlepakis, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Bayside, NY
National Provider Identifier
1275774929
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014564-1 Issued in NY
Practice address
3325 202ND St
Bayside, Queens
Bayside, NY 11361-1143
Phone
(346) 612-1772
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 014564-1 NY Primary

Addresses

Primary practice location

3325 202ND St
Bayside, Queens
Bayside, NY 11361-1143

Mailing address

3325 202ND St
Bayside, Queens
Bayside, NY 11361-1143
Phone (346) 612-1772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230001111 NY Practitioner - Qualified Speech Language Pathologist 6305127515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartshare Wellness LTDGroup PAC ID 8921992967, 11 clinicians

Practice addresses (Care Compare)

12430 -1224 Flatlands Ave
Article 16 Clinic
Brooklyn, NY 11239-5828
Phone (718) 797-2020

15905 Union Tpke
Fresh Meadows, NY 11366-1950
Phone (718) 797-2020

177 Livingston St
Brooklyn, NY 11201-7000
Phone (718) 797-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014564-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy of New York City Inc CurrentSince Dec 6, 2016 Accepting new patients

Locations

175 Lawrence Ave
Brooklyn, NY 11230
Phone (718) 436-7600

80 Maiden Ln
Fl 12
New York, NY 10038

80 Maiden Ln
Fl 8
New York, NY 10038
Phone (347) 971-2368

Interoperability endpoints

  • Direct secure messaging: emmanoyil.vlepakis.p2@direct.ucpnyc.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1275774929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 202ND ST",
            "address_2": "BAYSIDE, QUEENS",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611143",
            "telephone_number": "346-612-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 202ND ST",
            "address_2": "BAYSIDE, QUEENS",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113611143",
            "telephone_number": "346-612-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLEPAKIS",
        "first_name": "EMMANOYIL",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014564-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.