Active NPI
Stephen Corbo, SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1598077190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020068
- Practice address
- 303 W 122ND St Apt 66
New York, NY 10027-5310 - Phone
- (347) 604-1630
- NPI assigned
- Jul 12, 2010
- Sex
- Male
- 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 | 020068 | NY | Primary |
Addresses
Primary practice location
303 W 122ND St Apt 66
New York, NY 10027-5310
Mailing address
303 W 122ND St Apt 66
New York, NY 10027-5310
Phone (347) 604-1630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020068-1 | Other | NY | NY OFFICE OF PROFESSIONS REGISTRATION CERTIFICATE |
| 14028537 | Other | AMERICAN SPEECH AND HEARING ASSOCIATION |
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 |
|---|---|---|---|
| 020068 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1598077190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 W 122ND ST APT 66",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275310",
"telephone_number": "347-604-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 W 122ND ST APT 66",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100275310",
"telephone_number": "347-604-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBO",
"first_name": "STEPHEN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-12",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY OFFICE OF PROFESSIONS REGISTRATION CERTIFICATE",
"identifier": "020068-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH AND HEARING ASSOCIATION",
"identifier": "14028537",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.