Individual provider Active NPI

David M Sugar, SLP

  • Speech-Language Pathologist
  • Mexico, NY
National Provider Identifier
1346493186
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015271 Issued in NY
Practice address
216 County Route 64
Mexico, NY 13114-3229
Phone
(315) 963-5421
Fax
(315) 963-7693
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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 015271 NY Primary

Addresses

Primary practice location

216 County Route 64
Mexico, NY 13114-3229

Mailing address

19472 US Route 11
Watertown, NY 13601-5387
Phone (315) 782-6126

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
015271NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1346493186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19472 US ROUTE 11",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015387",
            "telephone_number": "315-782-6126",
            "fax_number": "315-782-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 COUNTY ROUTE 64",
            "city": "MEXICO",
            "state": "NY",
            "postal_code": "131143229",
            "telephone_number": "315-963-5421",
            "fax_number": "315-963-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGAR",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2008; 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.