Innovative Voice SLP P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

017478 Issued in NY

Legal business name

INNOVATIVE VOICE SLP P.C.

Practice address

2909 171St St
Flushing, NY 11358-1541

Phone

(718) 510-3770

NPI assigned

Aug 3, 2013

Last updated

Aug 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Gonzalez, M.A., CCC-SLPNPI 1215184734

Title

Speech-Language Pathologist

Phone

(718) 510-3770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Jason Gonzalez, MA/CCC-SLP

  • Speech-Language Pathologist
  • Flushing, NY
  • NPI 1215184734
  Authorized official Same address or phone

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

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375488000000",
    "number": "1578995312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 171ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581541",
            "telephone_number": "718-510-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 171ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581541",
            "telephone_number": "718-510-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE VOICE SLP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-510-3770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "017478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Flushing, NY
• Providers in Flushing, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.