Organization Active NPI

Simply Speaking SLP PLLC

  • Hearing and Speech Clinic/Center
  • Staten Island, NY
National Provider Identifier
1295075513
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
017807 Issued in NY
Legal business name
SIMPLY SPEAKING SLP PLLC
Practice address
90 Alberta Ave
Staten Island, NY 10314-4741
Phone
(347) 546-5088
Fax
(718) 983-1202
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Mr. Adegboyega Otubanjo
Title
Speech Pathologist
Phone
(347) 546-5088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 017807 NY Primary

Addresses

Primary practice location

90 Alberta Ave
Staten Island, NY 10314-4741

Mailing address

90 Alberta Ave
Staten Island, NY 10314-4741
Phone (347) 546-5088

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1295075513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ALBERTA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144741",
            "telephone_number": "347-546-5088",
            "fax_number": "718-983-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ALBERTA AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144741",
            "telephone_number": "347-546-5088",
            "fax_number": "718-983-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SPEAKING SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "OTUBANJO",
        "authorized_official_first_name": "ADEGBOYEGA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "347-546-5088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "017807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.