Individual provider Active NPI

Addily Minur Garcia, M.S. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1710777164
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034788 Issued in NY
Practice address
5030 Broadway Ste 809
New York, NY 10034-1666
Phone
(347) 443-2210
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 034788 NY Primary

Addresses

Primary practice location

5030 Broadway Ste 809
New York, NY 10034-1666

Mailing address

1261 Merriam Ave Apt 4K
Bronx, NY 10452-2908
Phone (347) 443-2210

Other practice location 1

1261 Merriam Ave Apt 4K
Bronx, NY 10452-2908
Phone (347) 443-2210

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 Science

State licenses

LicenseStateTypeSpecialty
034788NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1710777164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 MERRIAM AVE APT 4K",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104522908",
            "telephone_number": "347-443-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 809",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341666",
            "telephone_number": "347-443-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Merriam Ave Apt 4K",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104522908",
            "country_code": "US",
            "telephone_number": "347-443-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ADDILY",
        "middle_name": "MINUR",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 8, 2025; 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.