Active NPI
Isamar Milagros Rivera, M.A. CCC-SLP, TSSLD
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1700333994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027279
- Practice address
- 560 W 169TH St
New York, NY 10032-3913 - Phone
- (212) 927-0607
- NPI assigned
- Sep 6, 2016
- 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 | 027279 | NY | Primary |
Addresses
Primary practice location
560 W 169TH St
New York, NY 10032-3913
Mailing address
116 W 238TH St Apt 6G
Bronx, NY 10463-4221
Phone (646) 496-3596
Other practice location 1
2828 Valentine Ave
Apt 1F
Bronx, NY 10458-3145
Phone (646) 496-3596
Other names 1
- Ms. Isamar Milagros Ledesma
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027279 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba New-York-Presbyterian Pharmacy
- Community/Retail Pharmacy
- White Plains, NY
- NPI 1457057226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700333994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 W 238TH ST APT 6G",
"city": "BRONX",
"state": "NY",
"postal_code": "104634221",
"telephone_number": "646-496-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W 169TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323913",
"telephone_number": "212-927-0607"
}
],
"practiceLocations": [
{
"address_1": "2828 Valentine Ave",
"address_2": "Apt 1F",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104583145",
"country_code": "US",
"telephone_number": "646-496-3596",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "ISAMAR",
"middle_name": "MILAGROS",
"name_prefix": "Mrs.",
"credential": "M.A. CCC-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ISAMAR",
"last_name": "LEDESMA",
"middle_name": "MILAGROS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.