Angelina Pulatov, M.ED, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

10240 67TH Rd
Apt 4M
Forest Hills, NY 11375-2663

Phone

(347) 393-9701

NPI assigned

Jun 11, 2014

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)

Enrolled

Credentials

Master of Education

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.

• A B Speech LLC

  • Early Intervention Provider Agency
  • Rego Park, NY
  • NPI 1255055307

  Speech-Language Pathologist

  NPD Authorized official

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1457764060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 67TH RD",
            "address_2": "APT 4M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752663",
            "telephone_number": "347-393-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 67TH RD",
            "address_2": "APT 4M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752663",
            "telephone_number": "347-393-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULATOV",
        "first_name": "ANGELINA",
        "credential": "M.ED, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-11",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Prusak
• Tarah Leigh Pua, MD
• Ella Puccio, DSW LCSW
• Angelica Puentes Cuellar
• Linda L Puertas, MSW
• Pulmonary Associates of Queens PC
• Olivia Anna Pulvirenti
• Pure Eyecare Optometry P.C.
• Pure Vision Optical LLC
• Elizabeth Pyon

• 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 Jul 14, 2016; 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.