Individual provider Active NPI

Tara Dark-Lieber, TSHH, CCC-SLP

  • Speech-Language Pathologist
  • Howard Beach, NY
National Provider Identifier
1316214919
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018521 Issued in NY
Practice address
16043 88TH St
Howard Beach, NY 11414-3039
Phone
(718) 304-7610
NPI assigned
Nov 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 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 018521 NY Primary

Addresses

Primary practice location

16043 88TH St
Howard Beach, NY 11414-3039

Mailing address

16043 88TH St
Howard Beach, NY 11414-3039
Phone (718) 304-7610

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
018521NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322352000000",
    "number": "1316214919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16043 88TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143039",
            "telephone_number": "718-304-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16043 88TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114143039",
            "telephone_number": "718-304-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARK-LIEBER",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "TSHH, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.