MP Speech Language Pathology PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MP SPEECH LANGUAGE PATHOLOGY PC

Practice address

3936 Amboy Rd
Staten Island, NY 10308-2406

Phone

(917) 270-1140

Fax

(718) 317-6391

NPI assigned

Sep 4, 2010

Organization subpart

No

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

Authorized official

Name

Mindy Pottheiser, SLPMACCC

Title

President

Phone

(917) 270-1140

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mildred Pottheiser, M.A.C.C.C.-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1225262439
  NPD (past)
• Amie Sara Vetser, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1376858613
  NPD (past)

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283558400000",
    "number": "1487961934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MCBAINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091611",
            "telephone_number": "917-270-1140",
            "fax_number": "718-317-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082406",
            "telephone_number": "917-270-1140",
            "fax_number": "718-317-6391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP SPEECH LANGUAGE PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A",
        "authorized_official_last_name": "POTTHEISER",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-270-1140",
        "authorized_official_credential": "SLPMACCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nitsana Moyal, PSYD
• Dawn Moynihan, RN
• Konstantin Moyseystev, DDS
• Victoria Rose Mozatto
• Lisa Mozorosky, MS ED
• Stephanie Mrozowski, RN
• Mto Proservice Inc
• Asya Mubanga
• Sena Mubarez
• Ayesha Mubashir, M.D

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.