Organization Active NPI

New Start Diagnostic LLC

  • Speech-Language Pathologist
  • Naperville, IL
National Provider Identifier
1649854209
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEW START DIAGNOSTIC LLC
Practice address
115 E Ogden Ave Ste 105-149
Naperville, IL 60563-3103
Phone
(630) 677-8127
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Tiffaney RossNPI 1003499021
Title
Owner
Phone
(630) 677-8127

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
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

115 E Ogden Ave Ste 105-149
Naperville, IL 60563-3103

Mailing address

115 E Ogden Ave Ste 105-149
Naperville, IL 60563-3103
Phone (630) 677-8127

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hushmail

National Provider Directory

National Provider Directory

Locations

115 E Ogden Ave
Ste 105149
Naperville, IL 60563
Phone (630) 677-8127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1649854209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E OGDEN AVE STE 105-149",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633103",
            "telephone_number": "630-677-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E OGDEN AVE STE 105-149",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633103",
            "telephone_number": "630-677-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW START DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIFFANEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-677-8127"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hushmail",
            "affiliation": "N",
            "address_1": "115 E Ogden Ave Ste 105-149",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605633103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.