Active NPI
Daniel Cortez
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1518694199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14363946
- Practice address
- 778 Forest Ave
Bronx, NY 10456-7803 - Phone
- (718) 665-8866
- NPI assigned
- Aug 4, 2022
- Last updated
- Sep 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14363946 | NY | Primary |
Addresses
Primary practice location
778 Forest Ave
Bronx, NY 10456-7803
Mailing address
778 Forest Ave
Bronx, NY 10456-7803
Phone (718) 665-8866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14363946 | Other | NY | SCHOOL SUPPORTIVE HEALTH SERVICES PROGRAM (SSHSP) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14363946 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1518694199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 FOREST AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104567803",
"telephone_number": "718-665-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 FOREST AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104567803",
"telephone_number": "718-665-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-04",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "14363946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL SUPPORTIVE HEALTH SERVICES PROGRAM (SSHSP)",
"identifier": "14363946",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.