Active NPI
Omar Eliezer Alvarado, CCC-SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1467846733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0245881
- Practice address
- 226 54TH St
Apt.3
Brooklyn, NY 11220-2644 - Phone
- (347) 244-0554
- NPI assigned
- Mar 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0245881 | NY | Primary |
Addresses
Primary practice location
226 54TH St
Apt.3
Brooklyn, NY 11220-2644
Mailing address
226 54TH St
Apt.3
Brooklyn, NY 11220-2644
Phone (347) 244-0554
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0245881 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427241600000",
"number": "1467846733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 54TH ST",
"address_2": "APT.3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202644",
"telephone_number": "347-244-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 54TH ST",
"address_2": "APT.3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202644",
"telephone_number": "347-244-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVARADO",
"first_name": "OMAR",
"middle_name": "ELIEZER",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-25",
"last_updated": "2015-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0245881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.