Individual provider Active NPI

Aviva Wilner, SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1427306372
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022926-1 Issued in NY
Practice address
3850 Hudson Manor Ter
Apt 1Ae
Bronx, NY 10463-1117
Phone
(914) 942-1440
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

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 022926-1 NY Primary

Addresses

Primary practice location

3850 Hudson Manor Ter
Apt 1Ae
Bronx, NY 10463-1117

Mailing address

3850 Hudson Manor Ter
Apt 1Ae
Bronx, NY 10463-1117
Phone (914) 942-1440

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
022926-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382918400000",
    "number": "1427306372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TER",
            "address_2": "APT 1AE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631117",
            "telephone_number": "914-942-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 HUDSON MANOR TER",
            "address_2": "APT 1AE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631117",
            "telephone_number": "914-942-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILNER",
        "first_name": "AVIVA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2013-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022926-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.