Individual provider Active NPI

Pooja Banad, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1376904805
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5091 Issued in CT
Practice address
15431 58TH Ave
Flushing, NY 11355-5524
Phone
(917) 495-4220
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 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 5091 CT Primary

Addresses

Primary practice location

15431 58TH Ave
Flushing, NY 11355-5524

Mailing address

15431 58TH Ave
Flushing, NY 11355-5524
Phone (917) 495-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929001092 NY Practitioner - Qualified Speech Language Pathologist 6103321294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12456 Auburn Mill Rd
Glen Allen, VA 23059-1502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
025375NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1376904805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 58TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555524",
            "telephone_number": "917-495-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 58TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555524",
            "telephone_number": "917-495-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAD",
        "first_name": "POOJA",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.