Organization Active NPI

Sabina Mazur, M.S., CCC-SLP, P.C.

  • Hearing and Speech Clinic/Center
  • Staten Island, NY
National Provider Identifier
1679095723
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
024161-1 Issued in NY
Legal business name
SABINA MAZUR, M.S., CCC-SLP, P.C.
Practice address
66 Willow LN
Staten Island, NY 10306-6172
Phone
(646) 509-0478
NPI assigned
Jul 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sabina Mazur, M.S., CCC-SLPNPI 1548601081
Title
President
Phone
(646) 509-0478

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
Hearing and Speech Clinic/Center 261QH0700X 024161-1 NY Primary

Addresses

Primary practice location

66 Willow LN
Staten Island, NY 10306-6172

Mailing address

66 Willow LN
Staten Island, NY 10306-6172
Phone (646) 509-0478

Other identifiers 1

IdentifierTypeStateIssuer
04255276MedicaidNY

National Provider Directory

National Provider Directory

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": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679095723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WILLOW LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066172",
            "telephone_number": "646-509-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WILLOW LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066172",
            "telephone_number": "646-509-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINA MAZUR, M.S., CCC-SLP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAZUR",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-509-0478",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "024161-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04255276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.