Individual provider Active NPI

Heidi L Zuckerman, M.S., C.C.C/S.L.P.

  • Speech-Language Pathologist
  • East Meadow, NY
National Provider Identifier
1376722215
Registry record updated Oct 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
002410-1 Issued in NY
Practice address
1539 Eric LN
East Meadow, NY 11554-3605
Phone
(516) 485-7167
NPI assigned
Oct 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 002410-1 NY Primary

Addresses

Primary practice location

1539 Eric LN
East Meadow, NY 11554-3605

Mailing address

1539 Eric LN
East Meadow, NY 11554-3605

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
002410-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1376722215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ERIC LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 ERIC LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543605",
            "telephone_number": "516-485-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKERMAN",
        "first_name": "HEIDI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.S., C.C.C/S.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "002410-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.