Active NPI
Vasanthi Sukumaran, CCC/SLP PLLC
- Speech-Language Pathologist
- Jamaica, NY
National Provider Identifier
1629247788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 58017829-1
- Practice address
- 8573 Chevy Chase St
Jamaica, NY 11432-2444 - Phone
- (917) 678-4824
- NPI assigned
- Feb 22, 2008
- Last updated
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 58017829-1 | NY | Primary |
Addresses
Primary practice location
8573 Chevy Chase St
Jamaica, NY 11432-2444
Mailing address
8573 Chevy Chase St
Jamaica, NY 11432-2444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58017829-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1629247788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8573 CHEVY CHASE ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8573 CHEVY CHASE ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322444",
"telephone_number": "917-678-4824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKUMARAN",
"first_name": "VASANTHI",
"name_prefix": "Mrs.",
"credential": "CCC/SLP PLLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-22",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58017829-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.