NPIMap

Organization Active NPI

Nathalia Fonseca SLP P.C.

  • Hearing and Speech Clinic/Center
  • Kew Gardens, NY
National Provider Identifier
1679149595
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
NATHALIA FONSECA SLP P.C.
Practice address
8015 Lefferts Blvd # 1F
Kew Gardens, NY 11415-1738
Phone
(347) 449-9465
Fax
(347) 778-0726
NPI assigned
Jun 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Nathalia Andrea Fonseca
Title
Ceo/Speech-Language Pathologist
Phone
(347) 449-9465

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

8015 Lefferts Blvd # 1F
Kew Gardens, NY 11415-1738

Mailing address

8015 Lefferts Blvd # 1F
Kew Gardens, NY 11415-1738
Phone (347) 449-9465

Other names 1

  • Bilingual Speech-Language and Swallowing Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230719000236 NY Part B Supplier - Clinic/Group Practice 6002276326 Practice locations: Kew Gardens, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1679149595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 LEFFERTS BLVD # 1F",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151738",
            "telephone_number": "347-449-9465",
            "fax_number": "347-778-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 LEFFERTS BLVD # 1F",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151738",
            "telephone_number": "347-449-9465",
            "fax_number": "347-778-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHALIA FONSECA SLP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "NATHALIA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "CEO/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-449-9465"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bilingual Speech-Language and Swallowing Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.