Organization Active NPI

Infinite Speech Rehab Services PC

  • Speech-Language Pathologist
  • New Hyde Park, NY
National Provider Identifier
1588038426
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014113-1 Issued in NY
Legal business name
INFINITE SPEECH REHAB SERVICES PC
Practice address
7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone
(718) 343-5340
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Banu Rajagopal
Title
President
Phone
(347) 423-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 014113-1 NY Primary

Addresses

Primary practice location

7649 Hewlett St
New Hyde Park, NY 11040-1429

Mailing address

98 Chaffee Ave
Albertson, NY 11507-1829

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1588038426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 CHAFFEE AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 HEWLETT ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401429",
            "telephone_number": "718-343-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SPEECH REHAB SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "RAJAGOPAL",
        "authorized_official_first_name": "BANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-423-6766"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014113-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.