Simone Nalini Oodal, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6529 Grand Ave
Maspeth, NY 11378-2422

Phone

(718) 715-4871

NPI assigned

Dec 26, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Polaris Physical Therapy PLLC

  • Rehabilitation Clinic/Center
  • Maspeth, NY
  • NPI 1467104588
  NPD

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1316650179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6529 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782422",
            "telephone_number": "718-715-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6529 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782422",
            "telephone_number": "718-715-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OODAL",
        "first_name": "SIMONE",
        "middle_name": "NALINI",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyc Great Supply Inc.
• Jennifer E O'Connor, RPH
• Claudia Olivia Obrycki, BEHAVIOR TECHNICIAN
• Ewelina Ewa Ochalek
• Charles E Ogle
• Optum Medical Care, P.C.
• Raquel Alexis Orejuela, LMHC-D
• Jeanna Orfanos
• Krystal Ortiz, LMHC
• Melannie Ospina

• Speech-Language Pathologist in Maspeth, NY
• Providers in Maspeth, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.