Active NPI
Sofya Mullady
- Speech-Language Pathologist
- Glen Cove, NY
National Provider Identifier
1649874835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 029820-01
- Practice address
- 25 N Yew St
Glen Cove, NY 11542-1435 - Phone
- (516) 669-0434
- NPI assigned
- Nov 28, 2020
- Last updated
- Nov 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 029820-01 | NY | Primary |
Addresses
Primary practice location
25 N Yew St
Glen Cove, NY 11542-1435
Mailing address
8061 209TH St
Queens Village, NY 11427-1008
Phone (917) 502-5455
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029820-01 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Application Solutions, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Comprehensive Application Solutions, Inc. | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cove Speech Language and Feeding Therapy
- Speech-Language Pathologist
- Glen Cove, NY
- NPI 1518514470
-
dba CoveSLFT
- Early Intervention Provider Agency
- Greenvale, NY
- NPI 1689330656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606521600000",
"number": "1649874835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8061 209TH ST",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271008",
"telephone_number": "917-502-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N YEW ST",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115421435",
"telephone_number": "516-669-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLADY",
"first_name": "SOFYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-28",
"last_updated": "2020-11-28",
"certification_date": "2020-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "029820-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.