Individual provider Active NPI

Rajeev Puttaswamy, SLP

  • Speech-Language Pathologist
  • Middletown, NY
National Provider Identifier
1306900626
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011313 Issued in NY
Practice address
50 Dogwood Dr
Middletown, NY 10940-1802
Phone
(914) 629-3680
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 011313 NY Primary

Addresses

Primary practice location

50 Dogwood Dr
Middletown, NY 10940-1802

Mailing address

50 Dogwood Dr
Middletown, NY 10940-1802
Phone (914) 629-3680

Other identifiers 1

IdentifierTypeStateIssuer
011313OtherNYLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130829000000 NY Practitioner - Qualified Speech Language Pathologist 3971746512 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians

Practice addresses (Care Compare)

162 E Broadway
Monticello, NY 12701-8815
Phone (845) 796-1350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011313NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Sullivan County Chapter CurrentSince Jul 11, 2011 Accepting new patients
Rajeev Puttaswamy Speech Services, PLLC Speech-Language Pathologist CurrentSince Sep 8, 2018 Accepting new patients

Locations

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306900626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DOGWOOD DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401802",
            "telephone_number": "914-629-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DOGWOOD DR",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401802",
            "telephone_number": "914-629-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTASWAMY",
        "first_name": "RAJEEV",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "011313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.