Individual provider Active NPI

Amanda Lauren Stolcz

  • Speech-Language Pathologist
  • Bayside, NY
National Provider Identifier
1508201278
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4223 Francis Lewis Blvd
Ll107
Bayside, NY 11361-2575
Phone
(718) 767-4191
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

4223 Francis Lewis Blvd
Ll107
Bayside, NY 11361-2575

Mailing address

8629 155TH Ave
Apt. 5K
Howard Beach, NY 11414-2109
Phone (917) 846-2428

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

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1508201278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8629 155TH AVE",
            "address_2": "APT. 5K",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142109",
            "telephone_number": "917-846-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 FRANCIS LEWIS BLVD",
            "address_2": "LL107",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612575",
            "telephone_number": "718-767-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLCZ",
        "first_name": "AMANDA",
        "middle_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.