Organization Active NPI

Aliz Therapy SLP PC

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1477805158
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020591 Issued in NY
Legal business name
ALIZ THERAPY SLP PC
Practice address
9520 63Rd Rd Ste H
Rego Park, NY 11374-1145
Phone
(347) 813-4143
NPI assigned
Oct 5, 2012
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Ms. Alla Shnaider, M.A., CCC SLPNPI 1750604534
Title
Speech and Language Pathologist
Phone
(718) 753-0100

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
Speech-Language Pathologist 235Z00000X 020591 NY Primary

Addresses

Primary practice location

9520 63Rd Rd Ste H
Rego Park, NY 11374-1145

Mailing address

95-20 63 Rd, Suite H
Rego Park, NY 11374
Phone (347) 813-4143

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121127000375 NY Part B Supplier - Clinic/Group Practice 8426209370 Receives reassigned benefits from 1 practitioner
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Locations

9520 63rd Rd
Ste M
Rego Park, NY 11374
Phone (347) 813-4143

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": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1477805158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-20 63 RD, SUITE H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "347-813-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 63RD RD STE H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741145",
            "telephone_number": "347-813-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIZ THERAPY SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "SHNAIDER",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "SPEECH AND LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-753-0100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.