Individual provider Active NPI

Stuart Lee Bizoza, M.S.,CCC (SP)

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1285874503
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000888 Issued in NY
Practice address
110 E End Ave
Apt.10H
New York, NY 10028-7412
Phone
(516) 655-0513
NPI assigned
Feb 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 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 000888 NY Primary

Addresses

Primary practice location

110 E End Ave
Apt.10H
New York, NY 10028-7412

Mailing address

110 E End Ave
Apt.10H
New York, NY 10028-7412
Phone (516) 655-0513

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000888NYMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1285874503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E END AVE",
            "address_2": "APT.10H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287412",
            "telephone_number": "516-655-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E END AVE",
            "address_2": "APT.10H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287412",
            "telephone_number": "516-655-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZOZA",
        "first_name": "STUART",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "M.S.,CCC (SP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.