Individual provider Active NPI

Sherry Duksin, M.A. CCC SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1376604264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
002101-1 Issued in NY
Practice address
462 1St Ave
Dept. Rehab Medicine 6TH Floor
New York, NY 10016-9196
Phone
(212) 562-3311
Fax
(212) 562-3606
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002101-1 NY Primary

Addresses

Primary practice location

462 1St Ave
Dept. Rehab Medicine 6TH Floor
New York, NY 10016-9196

Mailing address

170 W End Ave
Apt. 19B
New York, NY 10023-5401
Phone (212) 580-7174

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002101-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376604264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W END AVE",
            "address_2": "APT. 19B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235401",
            "telephone_number": "212-580-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "address_2": "DEPT. REHAB MEDICINE 6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-3311",
            "fax_number": "212-562-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKSIN",
        "first_name": "SHERRY",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002101-1",
            "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 Jul 8, 2007; 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.