Janet Lynn Kantor, M.A. CCC-SLP

Key facts

NPI

1497058036

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

4237-1 (NY)

Practice address

374 Riley Avenue
Riley Avenue School
Calverton, NY 11933

Phone

(631) 369-6805

Fax

(631) 369-6807

NPI assigned

Dec 20, 2010

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 20, 2010.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1497058036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 RILEY AVENUE",
            "address_2": "RILEY AVENUE SCHOOL",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "11933",
            "telephone_number": "631-369-6805",
            "fax_number": "631-369-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 RILEY AVENUE",
            "address_2": "RILEY AVENUE SCHOOL",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "11933",
            "telephone_number": "631-369-6805",
            "fax_number": "631-369-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTOR",
        "first_name": "JANET",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "4237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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