Individual provider Active NPI

Sarah Dudajek-Bush, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Utica, NY
National Provider Identifier
1306130794
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014552-1 Issued in NY
Practice address
118 Business Park Dr
Utica, NY 13502-6302
Phone
(315) 793-2800
Fax
(315) 793-2807
NPI assigned
Jun 3, 2011
Last updated
May 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 014552-1 NY Primary

Addresses

Primary practice location

118 Business Park Dr
Utica, NY 13502-6302

Mailing address

118 Business Park Dr
Utica, NY 13502-6302
Phone (315) 793-2800

Other names 1

  • Sarah Dudajek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190520000867 NY Practitioner - Qualified Speech Language Pathologist 9537402359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014552NYMDMental Health Counselor
014552-1NYMDOccupational Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1306130794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026302",
            "telephone_number": "315-793-2800",
            "fax_number": "315-793-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BUSINESS PARK DR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026302",
            "telephone_number": "315-793-2800",
            "fax_number": "315-793-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDAJEK-BUSH",
        "first_name": "SARAH",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014552-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "DUDAJEK",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.