Laura Kovalenko, MS, CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028040 Issued in NY

Practice address

100 Tilson PL
Staten Island, NY 10305

Phone

(347) 557-5319

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ispeax, Inc

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1285505289
  NPD Authorized official

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539475200000",
    "number": "1629599808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TILSON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TILSON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "347-557-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALENKO",
        "first_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "MS, CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniele J. Kouroupos, PA-C
• Keith Kouroupos, PA-C
• Chloe Rose Koutras Hiwot, LPN
• Iakovos Koutras, M.D.
• Hannah Rose Kovach, DO
• Meena Kovoor, PA-C
• Susan N Kovoor
• Janice Kowalski, LMSW
• Marcin Kowalski, MD
• Vincent Thomas Kowalski, LCSW

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 14, 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.