Individual provider Active NPI

John Trembley, MSED

  • Speech-Language Pathologist
  • Cambridge, NY
National Provider Identifier
1538457197
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007313 Issued in NY
Practice address
33 Gilbert St # G
Cambridge, NY 12816-2643
Phone
(518) 677-8255
Fax
(518) 677-8250
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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 007313 NY Primary

Addresses

Primary practice location

33 Gilbert St # G
Cambridge, NY 12816-2643

Mailing address

33 Gilbert St # G
Cambridge, NY 12816-2643
Phone (518) 677-8255

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1538457197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GILBERT ST # G",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128162643",
            "telephone_number": "518-677-8255",
            "fax_number": "518-677-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GILBERT ST # G",
            "city": "CAMBRIDGE",
            "state": "NY",
            "postal_code": "128162643",
            "telephone_number": "518-677-8255",
            "fax_number": "518-677-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREMBLEY",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.