Organization Active NPI

Step Ahead Speech, Inc

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1346608429
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021787 Issued in NY
Legal business name
STEP AHEAD SPEECH, INC
Practice address
1839 E 13TH St
Suite 1
Brooklyn, NY 11229-2807
Phone
(646) 829-7969
Fax
(718) 891-1281
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Mrs. Marina Shishkin, M.A. CCC-SLPNPI 1326304254
Title
Speech Language Pathologist
Phone
(646) 829-7969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021787 NY Primary

Addresses

Primary practice location

1839 E 13TH St
Suite 1
Brooklyn, NY 11229-2807

Mailing address

1839 E 13TH St
Brooklyn, NY 11229-2807
Phone (646) 829-7969

Other identifiers 1

IdentifierTypeStateIssuer
03456631MedicaidNY

National Provider Directory

National Provider Directory

Locations

1839 E 13th St
Brooklyn, NY 11229
Phone (646) 829-7969

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1346608429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292807",
            "telephone_number": "646-829-7969",
            "fax_number": "718-891-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 E 13TH ST",
            "address_2": "SUITE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292807",
            "telephone_number": "646-829-7969",
            "fax_number": "718-891-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP AHEAD SPEECH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "SHISHKIN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "646-829-7969",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03456631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.