Individual provider Active NPI

Michele J Azumbrado-Santamaria, MS-CCC/SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1285878207
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007948-1 Issued in NY
Practice address
1408 E 56TH St
Brooklyn, NY 11234-4013
Phone
(347) 393-4087
Fax
(718) 763-8246
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 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 007948-1 NY Primary

Addresses

Primary practice location

1408 E 56TH St
Brooklyn, NY 11234-4013

Mailing address

1408 E 56TH St
Brooklyn, NY 11234-4013
Phone (347) 393-4087

Other names 1

  • Mrs. Michele A- Santamaria Other name

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

LicenseStateTypeSpecialty
007948-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1285878207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 E 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344013",
            "telephone_number": "347-393-4087",
            "fax_number": "718-763-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 E 56TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344013",
            "telephone_number": "347-393-4087",
            "fax_number": "718-763-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZUMBRADO-SANTAMARIA",
        "first_name": "MICHELE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007948-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "SANTAMARIA",
            "middle_name": "A-",
            "prefix": "MRS.",
            "credential": "MS-CCC/SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.