Ebonie Raphael

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019411 Issued in NY

Practice address

11522 222ND St
Cambria Heights, NY 11411-1204

Phone

(347) 276-6895

NPI assigned

Jan 16, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295136000000",
    "number": "1689979023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11522 222ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11522 222ND ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111204",
            "telephone_number": "347-276-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPHAEL",
        "first_name": "EBONIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-16",
        "last_updated": "2011-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennice L. Primo, LPN
• Sharmilla Sasha Pundruwillow
• George Odai Quaye, MD
• Lauren Ashley Ramesar, MD
• Joanne Range, LCSW
• Shenezah Nazia Rasheed, NP
• Ainsworth Alexander Rattigan Jr.
• Lana Rayev, M.D
• Allyson Kelley Regis, PHD
• Edner Registre, D.P.M.

• Speech-Language Pathologist in Cambria Heights, NY
• Providers in Cambria Heights, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2011; 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.