Individual provider Active NPI

Mayra Garcia, MS. CCC-SLP TSHH-BE

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1356693923
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010127 Issued in NY
Practice address
21 Jumel PL
A 225 DLC
New York, NY 10032-4316
Phone
(212) 923-4057
NPI assigned
Oct 8, 2012
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 010127 NY Primary

Addresses

Primary practice location

21 Jumel PL
A 225 DLC
New York, NY 10032-4316

Mailing address

21 Jumel PL
A 225 DLC
New York, NY 10032-4316
Phone (212) 923-4057

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

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1356693923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 JUMEL PL",
            "address_2": "A 225 DLC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324316",
            "telephone_number": "212-923-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 JUMEL PL",
            "address_2": "A 225 DLC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324316",
            "telephone_number": "212-923-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MAYRA",
        "credential": "MS. CCC-SLP TSHH-BE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.