Functional Speech Pathology, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FUNCTIONAL SPEECH PATHOLOGY, P.C.

Practice address

38 Clover LN
Levittown, NY 11756-3304

Phone

(917) 747-4108

NPI assigned

Oct 22, 2018

Organization subpart

No

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

Authorized official

Name

Leena Vijay Bhopale, MS, CCC-SLP

Title

President

Phone

(917) 747-4108

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1619443249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 CLOVER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563304",
            "telephone_number": "917-747-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CLOVER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563304",
            "telephone_number": "917-747-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL SPEECH PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "BHOPALE",
        "authorized_official_first_name": "LEENA",
        "authorized_official_middle_name": "VIJAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-747-4108",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03933075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zina Foroutan-Vasseghi, OCCUPATIONAL THERAPI
• Pamela Fox, MSED
• Viola Fredas
• Paul H Friedman, LAC LMT
• Lucy Fuentes, COTA/L, CLT
• John Gallagher
• Ridannelyn Gibs Gallo
• Karin Gambaro, M.S.
• Geralyn Ganci
• Patti Gancio, TEACHER

• Speech-Language Pathologist in Levittown, NY
• Providers in Levittown, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.