SLP Group Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

015082 Issued in NY

Legal business name

SLP GROUP INC.

Practice address

111 Haven Ave
Staten Island, NY 10306-5217

Phone

(646) 573-5901

NPI assigned

Mar 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Luba Lusher, M.S. CCC-SLP

Title

President/Speech-Pathologist

Phone

(646) 573-5901

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1578705265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAVEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065217",
            "telephone_number": "646-573-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAVEN AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065217",
            "telephone_number": "646-573-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "LUSHER",
        "authorized_official_first_name": "LUBA",
        "authorized_official_title_or_position": "PRESIDENT/SPEECH-PATHOLOGIST",
        "authorized_official_telephone_number": "646-573-5901",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "015082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.