Individual provider Active NPI

Diana Drollinger, MA/CCC-SLP

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1700039484
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009724- Issued in NY
Practice address
1847 Mayflower Ave
Bronx, NY 10461-4103
Phone
(917) 375-2833
Fax
(718) 828-3809
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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 009724- NY Primary

Addresses

Primary practice location

1847 Mayflower Ave
Bronx, NY 10461-4103

Mailing address

1847 Mayflower Ave
Bronx, NY 10461-4103
Phone (917) 375-2833

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
009724-NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1700039484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 MAYFLOWER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614103",
            "telephone_number": "917-375-2833",
            "fax_number": "718-828-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 MAYFLOWER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614103",
            "telephone_number": "917-375-2833",
            "fax_number": "718-828-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROLLINGER",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009724-",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.