Ira Israel Ehrenberg, CCC-SLP/TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015850 Issued in NY

Practice address

124 Cumberland PL
Lawrence, NY 11559-1334

Phone

(516) 435-5955

Fax

(718) 337-2268

NPI assigned

Nov 19, 2008

Last updated

Nov 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1427203314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CUMBERLAND PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591334",
            "telephone_number": "516-435-5955",
            "fax_number": "718-337-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 CUMBERLAND PL",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591334",
            "telephone_number": "516-435-5955",
            "fax_number": "718-337-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHRENBERG",
        "first_name": "IRA",
        "middle_name": "ISRAEL",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP/TSHH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.