Active NPI
Speech
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1306079967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0181431
- Legal business name
- SPEECH
- Practice address
- 2911 Surf Ave
Brooklyn, NY 11224-1705 - Phone
- (718) 265-3456
- NPI assigned
- Aug 31, 2009
- 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
- Ms. Rozaliya Yarusskaya
- Title
- President
- Phone
- (347) 462-4270
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0181431 | NY | Primary |
Addresses
Primary practice location
2911 Surf Ave
Brooklyn, NY 11224-1705
Mailing address
223 Piccadilly DWNS
Lynbrook, NY 11563-3145
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Lynbrook, NY
- NPI 1558594671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1306079967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 PICCADILLY DWNS",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 SURF AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112241705",
"telephone_number": "718-265-3456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-31",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "YARUSSKAYA",
"authorized_official_first_name": "ROZALIYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-462-4270",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0181431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 18, 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.