Individual provider Active NPI

Edantrice Menaldo

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1497574446
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2035 Hobart Ave
Bronx, NY 10461-3903
Phone
(718) 844-2628
NPI assigned
Oct 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 Primary

Addresses

Primary practice location

2035 Hobart Ave
Bronx, NY 10461-3903

Mailing address

2035 Hobart Ave
Bronx, NY 10461-3903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250325000091 NY Practitioner - Qualified Speech Language Pathologist 4284157884 Reassigns benefits to 2 organizations
I20260522000718 CT Practitioner - Qualified Speech Language Pathologist 4284157884 Reassigns benefits to 1 organization
I20260526001005 TX Practitioner - Qualified Speech Language Pathologist 4284157884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7600 Chevy Chase Dr
Austin, TX 78752-1503

7600 Chevy Chase Drive BLDG
2 Suite 300
Austin, TX 78752-1503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034375NYMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Homecare Services Inc Speech-Language Pathologist CurrentSince Feb 1, 2025 Accepting new patients
The S&L Stop LLC Speech-Language Pathologist CurrentSince Nov 10, 2024 Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1497574446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HOBART AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HOBART AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613903",
            "telephone_number": "718-844-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENALDO",
        "first_name": "EDANTRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.