Individual provider Active NPI

Taiye Roselyn Ologunja

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1639660061
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
100 Debs PL Apt 15E
Bronx, NY 10475-2512
Phone
(646) 579-9647
NPI assigned
May 22, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

100 Debs PL Apt 15E
Bronx, NY 10475-2512

Mailing address

100 Debs PL Apt 15E
Bronx, NY 10475-2512
Phone (646) 579-9647

Other practice location 1

100 Debs Pl Apt 15E
Bronx, NY 10475-2512
Phone (646) 579-9647

Other practice location 2

100 Debs Pl Apt 15E
Bronx, NY 10475-2512
Phone (646) 579-9647

Other practice location 3

100 Debs Pl Apt 15E
Bronx, NY 10475-2512
Phone (646) 579-9647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250527001791 NY Practitioner - Qualified Speech Language Pathologist 2466971171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033688NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Homecare Services Inc Single Specialty CurrentSince Apr 25, 2025 Accepting new patients

Locations

46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1639660061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBS PL APT 15E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752512",
            "telephone_number": "646-579-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEBS PL APT 15E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104752512",
            "telephone_number": "646-579-9647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Debs Pl Apt 15E",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104752512",
            "country_code": "US",
            "telephone_number": "646-579-9647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Debs Pl Apt 15E",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104752512",
            "country_code": "US",
            "telephone_number": "646-579-9647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Debs Pl Apt 15E",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104752512",
            "country_code": "US",
            "telephone_number": "646-579-9647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLOGUNJA",
        "first_name": "TAIYE",
        "middle_name": "ROSELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.