Individual provider Active NPI

Mia Laitin

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1598673162
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
333 7TH Ave
New York, NY 10001-5004
Phone
(917) 748-0112
NPI assigned
Sep 1, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 Primary

Addresses

Primary practice location

333 7TH Ave
New York, NY 10001-5004

Mailing address

1314 Dinsmore Ave FL 1
Far Rockaway, NY 11691-4756
Phone (858) 789-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1598673162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 DINSMORE AVE FL 1",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914756",
            "telephone_number": "858-789-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015004",
            "telephone_number": "917-748-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAITIN",
        "first_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.