Active NPI
John C Laffan
- Speech-Language Assistant
- Rego Park, NY
National Provider Identifier
1679837934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 578307111
- Practice address
- 9730 Queens Blvd
Rego Park, NY 11374-3245 - Phone
- (718) 897-5822
- NPI assigned
- Jul 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 578307111 | NY | Primary |
Addresses
Primary practice location
9730 Queens Blvd
Rego Park, NY 11374-3245
Mailing address
2267 26TH St Apt 1B
Astoria, NY 11105-3141
Phone (718) 267-8975
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 |
|---|---|---|---|
| 578307111 | NY | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Life Skills School, LTD | 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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Rego Park, NY
- NPI 1023395910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341100800000",
"number": "1679837934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2267 26TH ST APT 1B",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053141",
"telephone_number": "718-267-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 QUEENS BLVD",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743245",
"telephone_number": "718-897-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAFFAN",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-01",
"last_updated": "2012-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "NY",
"license": "578307111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.