Active NPI
Danielle Iesha George I, CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1477012573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1651245221
- Practice address
- 240 W 113TH St
New York, NY 10026-3306 - Phone
- (212) 678-2898
- Fax
- (212) 679-2975
- NPI assigned
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 1651245221 | NY | Primary |
Addresses
Primary practice location
240 W 113TH St
New York, NY 10026-3306
Mailing address
1964 Nostrand Ave Apt 6B
Brooklyn, NY 11210-1509
Phone (516) 492-8218
Other practice location 1
1080 Bergen St Ste 165
Brooklyn, NY 11216-3340
Phone (646) 685-9070
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 |
|---|---|---|---|
| 1651245221 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1477012573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1964 NOSTRAND AVE APT 6B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112101509",
"telephone_number": "516-492-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 113TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263306",
"telephone_number": "212-678-2898",
"fax_number": "212-679-2975"
}
],
"practiceLocations": [
{
"address_1": "1080 Bergen St Ste 165",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112163340",
"country_code": "US",
"telephone_number": "646-685-9070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "DANIELLE",
"middle_name": "IESHA",
"name_prefix": "Miss",
"name_suffix": "I",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "1651245221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.