Active NPI
Frankely Mateo
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1306613641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 033762
- Practice address
- 2024 Mohegan Ave
Bronx, NY 10460-1734 - Phone
- (718) 823-4146
- NPI assigned
- Dec 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 033762 | NY | Primary |
Addresses
Primary practice location
2024 Mohegan Ave
Bronx, NY 10460-1734
Mailing address
200 W Kingsbridge Rd Apt 7N
Bronx, NY 10463-7323
Phone (347) 851-0018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
200 W Kingsbridge Rd
Apt 7N
Bronx, NY 10463-7323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033762 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Health Homecare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1356071237
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1306613641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W KINGSBRIDGE RD APT 7N",
"city": "BRONX",
"state": "NY",
"postal_code": "104637323",
"telephone_number": "347-851-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 MOHEGAN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104601734",
"telephone_number": "718-823-4146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATEO",
"first_name": "FRANKELY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-06",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "033762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.