Individual provider Active NPI

Nada Bahbahani, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1639322894
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012997-1 Issued in NY
Practice address
4 Fordham Hill Oval
Suite #14C
Bronx, NY 10468-4716
Phone
(718) 365-9531
NPI assigned
Oct 30, 2008
Last updated
Oct 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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 012997-1 NY Primary

Addresses

Primary practice location

4 Fordham Hill Oval
Suite #14C
Bronx, NY 10468-4716

Mailing address

4 Fordham Hill Oval
Suite #14C
Bronx, NY 10468-4716
Phone (718) 365-9531

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
012997-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1639322894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FORDHAM HILL OVAL",
            "address_2": "SUITE #14C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684716",
            "telephone_number": "718-365-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FORDHAM HILL OVAL",
            "address_2": "SUITE #14C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684716",
            "telephone_number": "718-365-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHBAHANI",
        "first_name": "NADA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012997-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.