Organization Active NPI

Agape Speech & Swallowing Specialists Inc.

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1407607690
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
AGAPE SPEECH & SWALLOWING SPECIALISTS INC.
Practice address
9826 64TH Ave Apt 7H
Rego Park, NY 11374-2508
Phone
(646) 726-1244
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Frida YagudayevaNPI 1134808348
Title
Owner
Phone
(646) 726-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9826 64TH Ave Apt 7H
Rego Park, NY 11374-2508

Mailing address

9826 64TH Ave Apt 7H
Rego Park, NY 11374-2508

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240704000127 NY Part B Supplier - Clinic/Group Practice 5890239511 Receives reassigned benefits from 1 practitioner
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1407607690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9826 64TH AVE APT 7H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9826 64TH AVE APT 7H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742508",
            "telephone_number": "646-726-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE SPEECH & SWALLOWING SPECIALISTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "YAGUDAYEVA",
        "authorized_official_first_name": "FRIDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-726-1244"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.