Active NPI
Kristina Kundinova SLP PC
- Speech-Language Pathologist
- Corona, NY
National Provider Identifier
1659902401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KRISTINA KUNDINOVA SLP PC
- Practice address
- 9602 57TH Ave Apt 10M
Corona, NY 11368-3428 - Phone
- (718) 413-6039
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristina Kundinova
- Title
- Speech Language Pathologist
- Phone
- (718) 413-6039
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
9602 57TH Ave Apt 10M
Corona, NY 11368-3428
Mailing address
9602 57TH Ave Apt 10M
Corona, NY 11368-3428
Phone (718) 413-6039
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kkristinaslp@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Corona, NY
- NPI 1467724476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580342400000",
"number": "1659902401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9602 57TH AVE APT 10M",
"city": "CORONA",
"state": "NY",
"postal_code": "113683428",
"telephone_number": "718-413-6039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9602 57TH AVE APT 10M",
"city": "CORONA",
"state": "NY",
"postal_code": "113683428",
"telephone_number": "718-413-6039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINA KUNDINOVA SLP PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A",
"authorized_official_last_name": "KUNDINOVA",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "718-413-6039"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kkristinaslp@gmail.com",
"affiliation": "N",
"address_1": "9602 57th Ave Apt 10M",
"city": "Corona",
"state": "NY",
"country_code": "US",
"postal_code": "113683428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.