Individual provider Active NPI

Sharon Kucker

  • Speech-Language Pathologist
  • Cortlandt Manor, NY
National Provider Identifier
1598919870
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2418 Issued in NY
Practice address
17 Inwood LN W
Cortlandt Manor, NY 10567-6519
Phone
(914) 739-2470
Fax
(914) 737-4030
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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 2418 NY Primary

Addresses

Primary practice location

17 Inwood LN W
Cortlandt Manor, NY 10567-6519

Mailing address

17 Inwood LN W
Cortlandt Manor, NY 10567-6519
Phone (914) 739-2470

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

LicenseStateTypeSpecialty
2418NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1598919870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INWOOD LN W",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105676519",
            "telephone_number": "914-739-2470",
            "fax_number": "914-737-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INWOOD LN W",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105676519",
            "telephone_number": "914-739-2470",
            "fax_number": "914-737-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCKER",
        "first_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.