Organization Active NPI

NSC Speech Language Pathology PC

  • Local Education Agency (LEA)
  • Flushing, NY
National Provider Identifier
1457668063
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
009203 Issued in NY
Legal business name
NSC SPEECH LANGUAGE PATHOLOGY PC
Practice address
2915 168TH St
Flushing, NY 11358-1512
Phone
(718) 939-0306
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Mrs. Nicoletta Stagias-Coulianidis, M.A.,CCC-SLPNPI 1831391333
Title
President
Phone
(718) 939-0306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 009203 NY Primary

Addresses

Primary practice location

2915 168TH St
Flushing, NY 11358-1512

Mailing address

2915 168TH St
Flushing, NY 11358-1512
Phone (718) 939-0306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215000742 NY Part B Supplier - Clinic/Group Practice 7315319613 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1457668063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 168TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581512",
            "telephone_number": "718-939-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 168TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581512",
            "telephone_number": "718-939-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSC SPEECH LANGUAGE PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "STAGIAS-COULIANIDIS",
        "authorized_official_first_name": "NICOLETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-939-0306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "009203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.