Active NPI
Amy Lou Koziej
- Speech-Language Pathologist
- Grand Island, NY
National Provider Identifier
1588810014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012528-1
- Practice address
- 92 Riverview CR
Grand Island, NY 14221 - Phone
- (716) 510-5933
- NPI assigned
- Aug 15, 2008
- Last updated
- Aug 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012528-1 | NY | Primary |
Addresses
Primary practice location
92 Riverview CR
Grand Island, NY 14221
Mailing address
42 Crescent Drive
Akron, NY 14001
Phone (716) 510-5933
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012528-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1588810014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 CRESCENT DRIVE",
"city": "AKRON",
"state": "NY",
"postal_code": "14001",
"telephone_number": "716-510-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 RIVERVIEW CR",
"city": "GRAND ISLAND",
"state": "NY",
"postal_code": "14221",
"telephone_number": "716-510-5933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZIEJ",
"first_name": "AMY",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012528-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.