Individual provider Active NPI

Ashley Marie Cafaldo, MSED CCC-SLP

  • Speech-Language Pathologist
  • Kingston, NY
National Provider Identifier
1578872040
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020477-1 Issued in NY
Practice address
211 E Union St
#2
Kingston, NY 12401-5611
Phone
(845) 750-9890
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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 020477-1 NY Primary

Addresses

Primary practice location

211 E Union St
#2
Kingston, NY 12401-5611

Mailing address

PO Box 531
Glasco, NY 12432-0531
Phone (845) 750-9890

Other identifiers 1

IdentifierTypeStateIssuer
03606535MedicaidNY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
020477-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1578872040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "GLASCO",
            "state": "NY",
            "postal_code": "124320531",
            "telephone_number": "845-750-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E UNION ST",
            "address_2": "#2",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015611",
            "telephone_number": "845-750-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAFALDO",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020477-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03606535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.