Individual provider Active NPI

Imazulay Zalkind, CCC-SLP

  • Speech-Language Pathologist
  • Hallandale Beach, FL
National Provider Identifier
1306961875
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8924 Issued in FL
Practice address
1850 S Ocean Dr Apt 605
Hallandale Beach, FL 33009-7676
Phone
(954) 496-2644
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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 SA8924 FL Primary

Addresses

Primary practice location

1850 S Ocean Dr Apt 605
Hallandale Beach, FL 33009-7676

Mailing address

1850 S Ocean Dr Apt 605
Hallandale Beach, FL 33009-7676
Phone (954) 496-2644

Other identifiers 1

IdentifierTypeStateIssuer
891293900MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SA8924FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1306961875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S OCEAN DR APT 605",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097676",
            "telephone_number": "954-496-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S OCEAN DR APT 605",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330097676",
            "telephone_number": "954-496-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALKIND",
        "first_name": "IMAZULAY",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891293900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.