Individual provider Active NPI

Monica Maria Gallego-Pourmand, CCC-SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1376226100
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032352-01 Issued in NY
Practice address
40 W Tremont Ave
Bronx, NY 10453-5400
Phone
(718) 583-5355
Fax
(718) 583-5885
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 032352-01 NY Primary

Addresses

Primary practice location

40 W Tremont Ave
Bronx, NY 10453-5400

Mailing address

1273 Hardscrabble Rd
Chappaqua, NY 10514-1913
Phone (646) 591-0510

Other names 1

  • Ms. Monica Maria Gallego Other name

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

State licenses

LicenseStateTypeSpecialty
032352-01NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1376226100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 HARDSCRABBLE RD",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105141913",
            "telephone_number": "646-591-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104535400",
            "telephone_number": "718-583-5355",
            "fax_number": "718-583-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGO-POURMAND",
        "first_name": "MONICA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032352-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "GALLEGO",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.