Organization Active NPI

Jorge Albeiro Londono Lenis

  • Speech-Language Pathologist
  • Forest Hills, NY
National Provider Identifier
1285997197
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019401 Issued in NY
Legal business name
JORGE ALBEIRO LONDONO LENIS
Practice address
10420 Queens Blvd Apt 12W
Forest Hills, NY 11375-3621
Phone
(347) 755-7842
NPI assigned
Jun 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Mr. Jorge Albeiro Londono, MS
Title
Speech Language Pathology
Phone
(347) 755-7842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 019401 NY Primary

Addresses

Primary practice location

10420 Queens Blvd Apt 12W
Forest Hills, NY 11375-3621

Mailing address

10420 Queens Blvd Apt 12W
Forest Hills, NY 11375-3621
Phone (347) 755-7842

Other identifiers 1

IdentifierTypeStateIssuer
KBJ007L69516OtherNYBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1285997197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD APT 12W",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753621",
            "telephone_number": "347-755-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 QUEENS BLVD APT 12W",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753621",
            "telephone_number": "347-755-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE ALBEIRO LONDONO LENIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-17",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "LONDONO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALBEIRO",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGY",
        "authorized_official_telephone_number": "347-755-7842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "KBJ007L69516",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.