Individual provider Active NPI

Ilana Pultman, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Cedarhurst, NY
National Provider Identifier
1285961573
Registry record updated Nov 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009024 Issued in NY
Practice address
389 Barnard Ave
Cedarhurst, NY 11516-1701
Phone
(516) 569-0980
NPI assigned
Nov 8, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 009024 NY Primary

Addresses

Primary practice location

389 Barnard Ave
Cedarhurst, NY 11516-1701

Mailing address

389 Barnard Ave
Cedarhurst, NY 11516-1701
Phone (516) 569-0980

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

NPI Registry JSON

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

{
    "created_epoch": "1257638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257638400000",
    "number": "1285961573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 BARNARD AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161701",
            "telephone_number": "516-569-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 BARNARD AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161701",
            "telephone_number": "516-569-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULTMAN",
        "first_name": "ILANA",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-08",
        "last_updated": "2009-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.