Joan Pauline Fleischer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026219-1 Issued in NY

Practice address

5030 Broadway Ste 809
New York, NY 10034-1666

Phone

(212) 304-0400

NPI assigned

Jun 2, 2019

Last updated

Jun 2, 2019By the provider in NPPES

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

Practice roles

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.

• Premium Therapy Speech Services P.C.

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1710231881
  NPD (past)

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

{
    "created_epoch": "1559433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1285292532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 W 190TH ST APT 22",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100404131",
            "telephone_number": "301-787-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341666",
            "telephone_number": "212-304-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHER",
        "first_name": "JOAN",
        "middle_name": "PAULINE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-02",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026219-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Victor Flegenheimer, MD
• Emily Frances Fleisch, DPT
• Jessica Fleischer-Black, M.D.
• Juliet Fleischer-Djoleto
• Deborah A Fleischer, NP
• Lee Elliot Fleischer, LP - PSYCHOANALYST
• Martin Fleischer, M.D.
• Noel Ronnie Fleischer, M. D.
• Fleischman Medical PC
• Alex Scott Fleischman, DPM

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 2, 2019; 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.