Individual provider Active NPI

Sofia Bari, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Garden City, NY
National Provider Identifier
1508304890
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021792-1 Issued in NY
Practice address
585 Stewart Ave
Ste 310
Garden City, NY 11530-4783
Phone
(516) 627-3036
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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 021792-1 NY Primary

Addresses

Primary practice location

585 Stewart Ave
Ste 310
Garden City, NY 11530-4783

Mailing address

22227 Fairbury Ave
Queens Village, NY 11428-1925
Phone (718) 440-2521

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021792-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Center for Speech, Language & Swallowing Disorders LLP Past Accepting new patients
North Shore Center for Speech, Language & Swallowing Disorders Speech-Language Pathologist Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1508304890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22227 FAIRBURY AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281925",
            "telephone_number": "718-440-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE",
            "address_2": "STE 310",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304783",
            "telephone_number": "516-627-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARI",
        "first_name": "SOFIA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021792-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.