Active NPI
Elena Kabzan-Vaynman, M.S., CCC/SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1508008244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009090
- Practice address
- 2760 Whitman Dr
Brooklyn, NY 11234-6809 - Phone
- (917) 428-6059
- NPI assigned
- Mar 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009090 | FL | |
| Speech-Language Pathologist | 235Z00000X | 009090 | NY | Primary |
Addresses
Primary practice location
2760 Whitman Dr
Brooklyn, NY 11234-6809
Mailing address
8850 Edgewater PL
Parkland, FL 33076-4572
Phone (917) 428-6059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Hollywood, FL 33021
Phone (954) 483-7859
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009090 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supreme Speech Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Elena Kabzancccslp, Inc. | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Hollywood, FL
- NPI 1205642436
-
- Speech-Language Pathologist
- Coral Springs, FL
- NPI 1164012910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1508008244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8850 EDGEWATER PL",
"city": "PARKLAND",
"state": "FL",
"postal_code": "330764572",
"telephone_number": "917-428-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 WHITMAN DR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346809",
"telephone_number": "917-428-6059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABZAN-VAYNMAN",
"first_name": "ELENA",
"name_prefix": "Ms.",
"credential": "M.S., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-26",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "009090",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009090",
"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 Jun 25, 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.