Individual provider Active NPI

Maria Laura Kuyuk, M.S.-S.L.P.

  • Speech-Language Pathologist
  • Ridgefield, CT
National Provider Identifier
1417109588
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004191 Issued in CT
Practice address
67 Walnut Hill Rd
Ridgefield, CT 06877-2906
Phone
(718) 813-4331
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 004191 CT Primary
Speech-Language Pathologist 235Z00000X 015583-1 NY

Addresses

Primary practice location

67 Walnut Hill Rd
Ridgefield, CT 06877-2906

Mailing address

67 Walnut Hill Rd
Ridgefield, CT 06877-2906
Phone (718) 813-4331

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
004191CTMDSpeech-Language Pathologist
015583-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1417109588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WALNUT HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772906",
            "telephone_number": "718-813-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WALNUT HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772906",
            "telephone_number": "718-813-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYUK",
        "first_name": "MARIA",
        "middle_name": "LAURA",
        "credential": "M.S.-S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004191",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015583-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.