Individual provider Active NPI

Errika Dimitrakis, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1336341833
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010471 Issued in NY
Practice address
3530 Francis Lewis Blvd Ste 204
Flushing, NY 11358-1959
Phone
(718) 939-0306
Fax
(718) 939-0314
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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 010471 NY Primary

Addresses

Primary practice location

3530 Francis Lewis Blvd Ste 204
Flushing, NY 11358-1959

Mailing address

3530 Francis Lewis Blvd Ste 204
Flushing, NY 11358-1959
Phone (718) 939-0306

Other practice location 1

2114 Newtown Ave Fl 2
Astoria, NY 11102-2935
Phone (718) 939-0306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201002119 NY Practitioner - Qualified Speech Language Pathologist 6709257686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Family Speech Center Speech-Language Pathologist Current Accepting new patients
Family Speech Language Pathology PC Current Accepting new patients

Locations

2114 Newtown Ave
Ste 2
Astoria, NY 11102

2114 Newtown Ave
Fl 2
Astoria, NY 11102
Phone (718) 939-0306

2532 168th St
Flushing, NY 11358
Phone (718) 358-3644

3530 Francis Lewis Blvd
Ste 204
Flushing, NY 11358
Phone (718) 939-0306

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1336341833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 FRANCIS LEWIS BLVD STE 204",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581959",
            "telephone_number": "718-939-0306",
            "fax_number": "718-939-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 FRANCIS LEWIS BLVD STE 204",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581959",
            "telephone_number": "718-939-0306",
            "fax_number": "718-939-0314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2114 Newtown Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111022935",
            "country_code": "US",
            "telephone_number": "718-939-0306",
            "fax_number": "718-939-0314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMITRAKIS",
        "first_name": "ERRIKA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.