Organization Active NPI

Speech

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1306079967
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0181431 Issued in NY
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

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Ms. Rozaliya YarusskayaNPI 1558594671
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.