NPIMap

Organization Active NPI

Paraclete Speech Ave Maria LLC

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1619207529
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
010209-1 Issued in NY
Legal business name
PARACLETE SPEECH AVE MARIA LLC
Practice address
13430 58TH Ave
Flushing, NY 11355-5227
Phone
(732) 208-2444
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Ms. Maryangeline McCroryNPI 1265718605
Title
Director
Phone
(732) 208-2444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 010209-1 NY Primary

Addresses

Primary practice location

13430 58TH Ave
Flushing, NY 11355-5227

Mailing address

PO Box 670142
Flushing, NY 11367-0142
Phone (732) 208-2444

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1619207529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670142",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113670142",
            "telephone_number": "732-208-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 58TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555227",
            "telephone_number": "732-208-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARACLETE SPEECH AVE MARIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "MCCRORY",
        "authorized_official_first_name": "MARYANGELINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-208-2444",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010209-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.