Active NPI
Logopedica LLC
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1518215532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0163641
- Legal business name
- LOGOPEDICA LLC
- Practice address
- 353 Fort Washington Ave
1E
New York, NY 10033-6701 - Phone
- (212) 928-1222
- NPI assigned
- Aug 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Heracleous-Kyprianou, MS
- Title
- Owner/Speech Pathologist
- Phone
- (201) 564-7635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0163641 | NY | Primary |
Addresses
Primary practice location
353 Fort Washington Ave
1E
New York, NY 10033-6701
Mailing address
135 Rockland Ave
Northvale, NJ 07647-2113
Phone (201) 564-7635
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- New York, NY
- NPI 1144460205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1518215532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 ROCKLAND AVE",
"city": "NORTHVALE",
"state": "NJ",
"postal_code": "076472113",
"telephone_number": "201-564-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 FORT WASHINGTON AVE",
"address_2": "1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336701",
"telephone_number": "212-928-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOGOPEDICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-23",
"last_updated": "2012-08-23",
"status": "A",
"authorized_official_last_name": "HERACLEOUS-KYPRIANOU",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "201-564-7635",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0163641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.