Tara McGovern Fersko, M.S. SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009990-1 Issued in NY

Practice address

565 W 169TH St Apt 4E
New York, NY 10032-3909

Phone

(917) 297-7784

NPI assigned

Sep 9, 2013

Last updated

Sep 9, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1346675402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 W 169TH ST APT 4E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323909",
            "telephone_number": "917-297-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 W 169TH ST APT 4E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323909",
            "telephone_number": "917-297-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSKO",
        "first_name": "TARA",
        "middle_name": "MCGOVERN",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009990-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE",
            "identifier": "009990-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Erin Ferry, RD, CDN
• Joan Ferry
• Thomas Ferry
• Madeleine Esther Fersh, M.D.
• Ariella Fershtadt
• Alexa Ferst, MHC-LP
• Kenneth Ferst, R.PH.
• Henry Ferstenberg, M.D.
• Helen K Ferszt, LCSW
• Andra Fertig, M.D.

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.