Individual provider Active NPI

Carmen Kowalski Neuschotz, CCC SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1700014669
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005085-1 Issued in NY
Practice address
1230 Avenue Y
Apt. E21
Brooklyn, NY 11235-4271
Phone
(917) 991-6395
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 005085-1 NY Primary

Addresses

Primary practice location

1230 Avenue Y
Apt. E21
Brooklyn, NY 11235-4271

Mailing address

1230 Avenue Y
Apt. E21
Brooklyn, NY 11235-4271
Phone (917) 991-6395

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

State licenses

LicenseStateTypeSpecialty
005085-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1700014669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 AVENUE Y",
            "address_2": "APT. E21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354271",
            "telephone_number": "917-991-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 AVENUE Y",
            "address_2": "APT. E21",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354271",
            "telephone_number": "917-991-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSCHOTZ",
        "first_name": "CARMEN",
        "middle_name": "KOWALSKI",
        "name_prefix": "Ms.",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005085-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.