NPIMap

Organization Active NPI

Mrspeechpathology PC

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1376080267
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
024928 Issued in NY
Legal business name
MRSPEECHPATHOLOGY PC
Practice address
458 Neptune Ave Apt 8E
Brooklyn, NY 11224-4316
Phone
(347) 399-4836
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Eugene Chuprin, CCC-SLP
Title
Speech-Language Pathologist
Phone
(347) 399-4836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 024928 NY Primary

Addresses

Primary practice location

458 Neptune Ave Apt 8E
Brooklyn, NY 11224-4316

Mailing address

458 Neptune Ave Apt 8E
Brooklyn, NY 11224-4316

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1376080267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 NEPTUNE AVE APT 8E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 NEPTUNE AVE APT 8E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244316",
            "telephone_number": "347-399-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRSPEECHPATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CHUPRIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-399-4836",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "024928",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 30, 2017; 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.