Individual provider Active NPI

Miriam Wajsfeld, MA-SLP, TSSLD

  • Speech-Language Pathologist
  • Monroe, NY
National Provider Identifier
1477100493
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1 Dinev Rd
Monroe, NY 10950-6487
Phone
(845) 782-7510
NPI assigned
Aug 23, 2019
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1 Dinev Rd
Monroe, NY 10950-6487

Mailing address

336 Route 306
Monsey, NY 10952-1442
Phone (845) 422-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128001864 NY Practitioner - Qualified Speech Language Pathologist 0244644482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Jan 13, 2021 Accepting new patients
Aizer Health , Inc. CurrentSince Jan 13, 2021 Accepting new patients

Locations

48 Bakertown Rd
Monroe, NY 10950
Phone (845) 263-4130

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1477100493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 ROUTE 306",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521442",
            "telephone_number": "845-422-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DINEV RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109506487",
            "telephone_number": "845-782-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAJSFELD",
        "first_name": "MIRIAM",
        "name_prefix": "Miss",
        "credential": "MA-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.