Individual provider Active NPI

Amber-Dawn Mondejar Schiff, SLP CFY

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1386952760
Registry record updated Sep 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
396534101 Issued in NY
Practice address
805 Kent Ave
Brooklyn, NY 11205-1517
Phone
(718) 473-3808
Fax
(718) 483-9335
NPI assigned
Sep 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2010

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 396534101 NY Primary

Addresses

Primary practice location

805 Kent Ave
Brooklyn, NY 11205-1517

Mailing address

632 Derby Ave
Woodmere, NY 11598-2740
Phone (917) 344-9381

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
396534101NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284854400000",
    "number": "1386952760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 DERBY AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982740",
            "telephone_number": "917-344-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 KENT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051517",
            "telephone_number": "718-473-3808",
            "fax_number": "718-483-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIFF",
        "first_name": "AMBER-DAWN",
        "middle_name": "MONDEJAR",
        "name_prefix": "Ms.",
        "credential": "SLP CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2010-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "396534101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2010; 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.