Individual provider Active NPI

Shady Saleh I, MS CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1548496029
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016281 Issued in NY
Practice address
8423 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805
Phone
(718) 833-4329
Fax
(718) 833-4352
NPI assigned
Jun 10, 2009
Last updated
Jun 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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 016281 NY Primary

Addresses

Primary practice location

8423 Fort Hamilton Pkwy
Brooklyn, NY 11209-4805

Mailing address

189 Atlantic Ave Apt 3C
Brooklyn, NY 11201-5635
Phone (347) 512-5968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240624000469 NY Practitioner - Qualified Speech Language Pathologist 7719420462 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
016281NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ispeak, Inc. CurrentSince May 4, 2024 Accepting new patients

Locations

401 Flatbush Ave
Brooklyn, NY 11238
Phone (347) 512-5968

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1548496029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ATLANTIC AVE APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015635",
            "telephone_number": "347-512-5968",
            "fax_number": "718-833-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8423 FORT HAMILTON PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094805",
            "telephone_number": "718-833-4329",
            "fax_number": "718-833-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEH",
        "first_name": "SHADY",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.