Organization Active NPI

Northeast Speech-Language Pathology, P.C.

Doing business as Northeast Mobile Swallow Imaging

  • Home Health Agency
  • Niskayuna, NY
National Provider Identifier
1467689208
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
006099-1 Issued in NY
Legal business name
NORTHEAST SPEECH-LANGUAGE PATHOLOGY, P.C.
Doing business as
Northeast Mobile Swallow Imaging
Practice address
580 Pearse Rd
Niskayuna, NY 12309-2906
Phone
(518) 369-6299
Fax
(518) 867-3069
NPI assigned
Jun 19, 2009
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Marina Kristel, MS, CCC/SLPNPI 1043239502
Title
President
Phone
(518) 369-6299

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
Home Health Agency 251E00000X 006099-1 NY Primary

Addresses

Primary practice location

580 Pearse Rd
Niskayuna, NY 12309-2906

Mailing address

1976 Central Ave
Albany, NY 12205-4503
Phone (518) 369-6299

Other names 1

  • Northeast Mobile Swallow Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

1976 Central Ave
Albany, NY 12205

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": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1467689208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054503",
            "telephone_number": "518-369-6299",
            "fax_number": "518-867-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PEARSE RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092906",
            "telephone_number": "518-369-6299",
            "fax_number": "518-867-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SPEECH-LANGUAGE PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "KRISTEL",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-369-6299",
        "authorized_official_credential": "MS, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "006099-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Mobile Swallow Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.