Individual provider Active NPI

Karen Susan Rogovin, MA

  • Speech-Language Pathologist
  • Bayside, NY
National Provider Identifier
1669695896
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005088 Issued in NY
Practice address
2355 Bell Blvd
Apt 6E
Bayside, NY 11360-2058
Phone
(718) 225-7655
NPI assigned
Apr 10, 2007
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 005088 NY Primary

Addresses

Primary practice location

2355 Bell Blvd
Apt 6E
Bayside, NY 11360-2058

Mailing address

2355 Bell Blvd
Apt 6E
Bayside, NY 11360-2058
Phone (718) 225-7655

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
005088NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Therapy Services PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1669695896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 BELL BLVD",
            "address_2": "APT 6E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602058",
            "telephone_number": "718-225-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 BELL BLVD",
            "address_2": "APT 6E",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602058",
            "telephone_number": "718-225-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOVIN",
        "first_name": "KAREN",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.