Polina Shkadron, MA, CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019970 Issued in NY

Practice address

6939 Yellowstone Blvd
Forest Hills, NY 11375-3795

Phone

(646) 286-4160

NPI assigned

Jun 11, 2010

Sex

Female

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)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Play to Learn, SLP PC

  • Speech-Language Pathologist
  • Bayside, NY
  • NPI 1689030389
  NPD (past) Authorized official

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1457672586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FROST POND DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762831",
            "telephone_number": "646-286-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 YELLOWSTONE BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753795",
            "telephone_number": "646-286-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20939 23rd Ave",
            "address_2": "Apt 3G",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113601844",
            "country_code": "US",
            "telephone_number": "646-286-4160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHKADRON",
        "first_name": "POLINA",
        "credential": "MA, CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuva Shimunova
• Shine Medical PC
• Emma Shinn
• Michael Shirazi
• Shirley Cawley
• Anna Y. Shlapakova, MD
• Eva Shmuklyer
• Svetlana Sholomova
• Talya Shomron
• Marina G Shtern, M.D.

• Speech-Language Pathologist in Forest Hills, NY
• Providers in Forest Hills, 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 Dec 24, 2020; 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.