Active NPI
Dyala Sophia Eid, M.S.
- Speech-Language Pathologist
- Staten Island, NY
National Provider Identifier
1679907935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 107975
- Practice address
- 106 Olympia Blvd
Staten Island, NY 10305-4336 - Phone
- (347) 283-0082
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 Pathologist | 235Z00000X | 107975 | TX | Primary |
Addresses
Primary practice location
106 Olympia Blvd
Staten Island, NY 10305-4336
Mailing address
106 Olympia Blvd
Staten Island, NY 10305-4336
Phone (347) 283-0082
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107975 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1679907935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 OLYMPIA BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054336",
"telephone_number": "347-283-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 OLYMPIA BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054336",
"telephone_number": "347-283-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EID",
"first_name": "DYALA",
"middle_name": "SOPHIA",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "107975",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.