Individual provider Active NPI

Natela Pinkhasova, M.S. SLP-CCC

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1619275500
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020635 Issued in NY
Practice address
24 Somerset Dr N
Great Neck, NY 11020-1720
Phone
(646) 479-6844
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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 020635 NY Primary

Addresses

Primary practice location

24 Somerset Dr N
Great Neck, NY 11020-1720

Mailing address

24 Somerset Dr N
Great Neck, NY 11020-1720
Phone (646) 479-6844

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
020635NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1619275500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOMERSET DR N",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201720",
            "telephone_number": "646-479-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SOMERSET DR N",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201720",
            "telephone_number": "646-479-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKHASOVA",
        "first_name": "NATELA",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.