Individual provider Active NPI

Rosamond Joanna Simeonidis-Attard, MA CCC-SLP

  • Speech-Language Pathologist
  • Astoria, NY
National Provider Identifier
1346542974
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019067-1 Issued in NY
Practice address
2257 24TH St
Astoria, NY 11105-3412
Phone
(646) 662-0145
Fax
(646) 383-9290
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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 019067-1 NY Primary

Addresses

Primary practice location

2257 24TH St
Astoria, NY 11105-3412

Mailing address

2257 24TH St
Astoria, NY 11105-3412
Phone (646) 662-0145

Other names 1

  • Ms. Rosamond Joanna Simeonidis Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
019067-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1346542974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 24TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053412",
            "telephone_number": "646-662-0145",
            "fax_number": "646-383-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 24TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111053412",
            "telephone_number": "646-662-0145",
            "fax_number": "646-383-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEONIDIS-ATTARD",
        "first_name": "ROSAMOND",
        "middle_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019067-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSAMOND",
            "last_name": "SIMEONIDIS",
            "middle_name": "JOANNA",
            "prefix": "MS.",
            "credential": "MA CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.