Active NPI
Melissa Reyes
- Speech-Language Pathologist
- Astoria, NY
National Provider Identifier
1346608734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026387
- Practice address
- 3702 31St Ave Apt 1R
Astoria, NY 11103-3834 - Phone
- (347) 393-9383
- NPI assigned
- Feb 1, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 026387 | NY | Primary |
Addresses
Primary practice location
3702 31St Ave Apt 1R
Astoria, NY 11103-3834
Mailing address
3702 31St Ave Apt 1R
Astoria, NY 11103-3834
Phone (347) 393-9383
Other practice location 1
2112 Broadway Ground Floor
New York, NY 10023
Phone (212) 799-1750 ext. 79917
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dara Kotler CCC-SLP, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1346608734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 31ST AVE APT 1R",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033834",
"telephone_number": "347-393-9383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3702 31ST AVE APT 1R",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033834",
"telephone_number": "347-393-9383"
}
],
"practiceLocations": [
{
"address_1": "2112 Broadway Ground Floor",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10023",
"country_code": "US",
"telephone_number": "212-799-1750 x79917",
"fax_number": "212-799-1815",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.