Ivy Beth Frajerman, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL0061457L Issued in PA

Practice address

10521 Drummond Rd
Philadelphia, PA 19154-3807

Phone

(215) 612-7500

Fax

(215) 613-1033

NPI assigned

Aug 18, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Special People in Northeast, Inc.

  • Local Education Agency (LEA)
  • Philadelphia, PA
  • NPI 1780710137
  NPD (past)
• Special People in Northeast, Inc.

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1922135219
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1386924660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ALBERTS CT",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541026",
            "telephone_number": "215-612-7530",
            "fax_number": "215-613-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 DRUMMOND RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191543807",
            "telephone_number": "215-612-7500",
            "fax_number": "215-613-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAJERMAN",
        "first_name": "IVY",
        "middle_name": "BETH",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL0061457L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA DPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS",
            "identifier": "SL006157L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Victoria Fraga, MD
• Kathleen Fragale, PT
• Elaina Fragoulias, DO
• Elad Fraiman, MD, MPH
• Howard Paul Fraiman, D.M.D.
• Douglas Leon Fraker, MD
• Danielle Marie Frame-McComb, PA-C
• Katie Ann Frame, LCSW
• Lawrence Henry Frame, M.D.
• Christine Frampus, LPC, NCC, RPT, M.ED

• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.