Ashly Mammen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016266 Issued in NY

Practice address

21418 Hillside Ave
Queens Village, NY 11427-1808

Phone

(646) 651-9197

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Shield of David, Inc.Group PAC ID 2264472026, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Shield of David, Inc.

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290
  Medicare reassignment Care Compare group NPD
• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment NPD
• Epic Medical Services PC

  • Specialist
  • East Meadow, NY
  • NPI 1134589609
  Medicare reassignment NPD
• Global Speech Language Pathology PC

  • Speech-Language Pathologist
  • New Hyde Park, NY
  • NPI 1710359625
  Medicare reassignment NPD
• Lifespire, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1497709166
  Medicare reassignment NPD
• MHH Psychology and Speech-Language Pathology Therapy Services PLLC

  • Contractor
  • New Hyde Park, NY
  • NPI 1871966515
  Medicare reassignment NPD
• Heartshare Wellness, LTD.

  • Public Health or Welfare Agency
  • Brooklyn, NY
  • NPI 1487895371
  Medicare reassignment
• Epilepsy Foundation of L.I.

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD
• Lifespire, Inc.

  • Voluntary or Charitable Agency
  • Hollis, NY
  • NPI 1164629788
  NPD
• Federation Employment and Guidance Service, Inc

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1942243084
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344643200000",
    "number": "1720131394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21418 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271808",
            "telephone_number": "646-651-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21418 HILLSIDE AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271808",
            "telephone_number": "646-651-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMEN",
        "first_name": "ASHLY",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PRIME HMO",
            "identifier": "16551385",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lelamattie Mahase
• Jenny Maitre-Baptiste
• Irina Makdulin
• Rosina Makombese
• Joseph Maldonado
• Sandra B Mampouya, PA
• Alexandra Manderson, LMSW
• Amritha Mangalat, MD
• Patricia Ann Manhart
• Sosamma K Mani

• Speech-Language Pathologist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.