NPIMap

Organization Active NPI

Masha Speech Therapy

  • Early Intervention Provider Agency
  • Rego Park, NY
National Provider Identifier
1639436470
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MASHA SPEECH THERAPY
Practice address
9609 67TH Ave Apt 3J
Rego Park, NY 11374-5102
Phone
(917) 923-7910
NPI assigned
Apr 18, 2012
Last updated
Apr 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Mariya Yunusova, MA SLP CCCNPI 1851602403
Title
President
Phone
(917) 923-7910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

9609 67TH Ave Apt 3J
Rego Park, NY 11374-5102

Mailing address

9609 67TH Ave Apt 3J
Rego Park, NY 11374-5102

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1639436470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 67TH AVE APT 3J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9609 67TH AVE APT 3J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745102",
            "telephone_number": "917-923-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASHA SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "YUNUSOVA",
        "authorized_official_first_name": "MARIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-923-7910",
        "authorized_official_credential": "MA SLP CCC"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.