Active NPI
Jorge Albeiro Londono Lenis
- Speech-Language Pathologist
- Forest Hills, NY
National Provider Identifier
1285997197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019401
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KBJ007L69516 | Other | NY | BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI 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.