Individual provider Active NPI

Daniel M Babekov, MS CCC-SLP

  • Speech-Language Pathologist
  • Fresh Meadows, NY
National Provider Identifier
1306124300
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019273-1 Issued in NY
Practice address
15813 72ND Ave
Fresh Meadows, NY 11365-4100
Phone
(718) 380-7600
Fax
(718) 820-0369
NPI assigned
Jul 26, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019273-1 NY Primary

Addresses

Primary practice location

15813 72ND Ave
Fresh Meadows, NY 11365-4100

Mailing address

15910 71St Ave
#3A
Fresh Meadows, NY 11365-3020
Phone (917) 239-4591

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019273-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1306124300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15910 71ST AVE",
            "address_2": "#3A",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653020",
            "telephone_number": "917-239-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15813 72ND AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113654100",
            "telephone_number": "718-380-7600",
            "fax_number": "718-820-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABEKOV",
        "first_name": "DANIEL",
        "middle_name": "M",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019273-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.