Individual provider Active NPI

Rebecca Ginter, M.A. CCC-SLP TSSLD

  • Speech-Language Pathologist
  • Queens Village, NY
National Provider Identifier
1699146506
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
025221 Issued in NY
Practice address
23110 Hillside Ave
Queens Village, NY 11427-2631
Phone
(718) 464-5606
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 025221 NY Primary

Addresses

Primary practice location

23110 Hillside Ave
Queens Village, NY 11427-2631

Mailing address

72 Chapin Ave
Merrick, NY 11566-1941

Other practice location 1

376 Bay 44th St
Brooklyn, NY 11214-7103
Phone (516) 776-8683

Other practice location 2

376 Bay 44th St
Brooklyn, NY 11214
Phone (516) 776-8683

Other names 1

  • Rebecca Vedrin Former name

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

LicenseStateTypeSpecialty
025221NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1699146506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 CHAPIN AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23110 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272631",
            "telephone_number": "718-464-5606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Bay 44th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112147103",
            "country_code": "US",
            "telephone_number": "516-776-8683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "376 Bay 44th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11214",
            "country_code": "US",
            "telephone_number": "516-776-8683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINTER",
        "first_name": "REBECCA",
        "credential": "M.A. CCC-SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "VEDRIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.