Individual provider Active NPI

Eva Halbertal, CCC SLP

  • Speech-Language Pathologist
  • Far Rockaway, NY
National Provider Identifier
1457588063
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010093-1 Issued in NY
Practice address
762 Caffrey Ave
Far Rockaway, NY 11691-5300
Phone
(718) 327-0226
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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 010093-1 NY Primary

Addresses

Primary practice location

762 Caffrey Ave
Far Rockaway, NY 11691-5300

Mailing address

762 Caffrey Ave
Far Rockaway, NY 11691-5300
Phone (718) 327-0226

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
010093-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Say It Better Speech-Language Pathologist CurrentSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1457588063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 CAFFREY AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915300",
            "telephone_number": "718-327-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 CAFFREY AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915300",
            "telephone_number": "718-327-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERTAL",
        "first_name": "EVA",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.