Active NPI
Linda Russell Koenigsberg, MA
- Speech-Language Pathologist
- Getzville, NY
National Provider Identifier
1689847360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004627-1
- Practice address
- 150 Stahl Rd
Getzville, NY 14068-1231 - Phone
- (716) 629-3437
- Fax
- (716) 629-3494
- NPI assigned
- Apr 2, 2008
- 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 | 004627-1 | NY | Primary |
Addresses
Primary practice location
150 Stahl Rd
Getzville, NY 14068-1231
Mailing address
150 Stahl Rd
Getzville, NY 14068-1231
Phone (716) 629-3437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004627-1 | Other | NY | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004627-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1689847360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 STAHL RD",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681231",
"telephone_number": "716-629-3437",
"fax_number": "716-629-3494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 STAHL RD",
"city": "GETZVILLE",
"state": "NY",
"postal_code": "140681231",
"telephone_number": "716-629-3437",
"fax_number": "716-629-3494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOENIGSBERG",
"first_name": "LINDA",
"middle_name": "RUSSELL",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004627-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "004627-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Getzville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.