Genuine Speech Therapy P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GENUINE SPEECH THERAPY P.C.

Practice address

2613 21St St
Astoria, NY 11102-3544

Phone

(718) 626-4800

NPI assigned

Dec 21, 2020

Last updated

Sep 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sungkuk ParkNPI 1003153024

Title

Owner/President

Phone

(718) 578-8708

Specialties & licenses 1

Addresses

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.

• Sungkuk Park, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Flushing, NY
  • NPI 1003153024
  Authorized official Same address or phone

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1639766983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023544",
            "telephone_number": "718-578-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023544",
            "telephone_number": "718-626-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUINE SPEECH THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNGKUK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "718-578-8708"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Astoria, NY
• Providers in Astoria, 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 Sep 27, 2024; 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.