Active NPI
Deborah Ann Smith, MA CCC-SLP
- Speech-Language Pathologist
- Howard Beach, NY
National Provider Identifier
1487890752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0056471
- Practice address
- 156-45 84TH Street
Toddler & Infant Program SP Ed Inc (Tjpse)
Howard Beach, NY 11414 - Phone
- (718) 738-1800
- Fax
- (718) 848-8683
- NPI assigned
- Dec 17, 2008
- Sex
- Female
- 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 | 0056471 | NY | Primary |
Addresses
Primary practice location
156-45 84TH Street
Toddler & Infant Program SP Ed Inc (Tjpse)
Howard Beach, NY 11414
Mailing address
177 Marguerite Ave
South Floral Park, NY 11001
Phone (516) 327-0177
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0056471 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Kids Intervention Program, Inc | Past | Accepting new patients | |
| Toddler Infant Preschool | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Howard Beach, NY
- NPI 1073816856
-
- Early Intervention Provider Agency
- Howard Beach, NY
- NPI 1477883510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1487890752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 MARGUERITE AVE",
"city": "SOUTH FLORAL PARK",
"state": "NY",
"postal_code": "11001",
"telephone_number": "516-327-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156-45 84TH STREET",
"address_2": "TODDLER & INFANT PROGRAM SP ED INC (TJPSE)",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "11414",
"telephone_number": "718-738-1800",
"fax_number": "718-848-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-17",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0056471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.