Organization Active NPI

Logopedica LLC

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1518215532
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0163641 Issued in NY
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

Updated by the provider on Aug 23, 2012

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.