Organization Active NPI

J. Gudis Speech and Language

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New York, NY
National Provider Identifier
1417499385
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
J. GUDIS SPEECH AND LANGUAGE
Practice address
104 E 31St St Apt 5D
New York, NY 10016-6828
Phone
(323) 833-7863
NPI assigned
Nov 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Jacqueline Gudis
Title
SLP
Phone
(323) 833-7863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

104 E 31St St Apt 5D
New York, NY 10016-6828

Mailing address

104 E 31St St Apt 5D
New York, NY 10016-6828
Phone (323) 833-7863

Other names 1

  • J. Gudis Speech and Language Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1417499385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 31ST ST APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166828",
            "telephone_number": "323-833-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 31ST ST APT 5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166828",
            "telephone_number": "323-833-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. GUDIS SPEECH AND LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "GUDIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "323-833-7863"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Gudis Speech and Language",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.