Individual provider Active NPI

Chavie Dresdner, MS SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1477861367
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020420 Issued in NY
Practice address
1293 E 5TH St Apt 4D
Brooklyn, NY 11230-4656
Phone
(718) 216-3412
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 020420 NY Primary

Addresses

Primary practice location

1293 E 5TH St Apt 4D
Brooklyn, NY 11230-4656

Mailing address

1293 E 5TH St Apt 4D
Brooklyn, NY 11230-4656
Phone (718) 216-3412

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020420NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1477861367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 E 5TH ST APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304656",
            "telephone_number": "718-216-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 E 5TH ST APT 4D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304656",
            "telephone_number": "718-216-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESDNER",
        "first_name": "CHAVIE",
        "name_prefix": "Ms.",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020420",
            "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 Sep 14, 2010; 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.