Active NPI
Rosalie Unterman, PH.D.
- Speech-Language Pathologist
- Staten Island, NY
National Provider Identifier
1699913616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 000545
- Practice address
- 65 Goller PL
Staten Island, NY 10314-6503 - Phone
- (718) 983-7599
- NPI assigned
- Jan 29, 2009
- Last updated
- Jan 29, 2009
- Sex
- Female
- 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 Pathologist | 235Z00000X | 000545 | NY | Primary |
Addresses
Primary practice location
65 Goller PL
Staten Island, NY 10314-6503
Mailing address
65 Goller PL
Staten Island, NY 10314-6503
Phone (718) 983-7599
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000545 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1699913616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 GOLLER PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146503",
"telephone_number": "718-983-7599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 GOLLER PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146503",
"telephone_number": "718-983-7599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNTERMAN",
"first_name": "ROSALIE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "000545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.