Individual provider Active NPI

Iris Abbe Masarsky, M.A. CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1720309909
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6934691 Issued in NY
Practice address
401 E 65TH St
Apt. 10-I
New York, NY 10065-6943
Phone
(917) 301-2553
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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 6934691 NY Primary

Addresses

Primary practice location

401 E 65TH St
Apt. 10-I
New York, NY 10065-6943

Mailing address

401 E 65TH St
Apt. 10-I
New York, NY 10065-6943
Phone (917) 301-2553

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
6934691NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1720309909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 65TH ST",
            "address_2": "APT. 10-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656943",
            "telephone_number": "917-301-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 65TH ST",
            "address_2": "APT. 10-I",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656943",
            "telephone_number": "917-301-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASARSKY",
        "first_name": "IRIS",
        "middle_name": "ABBE",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "6934691",
            "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 Jun 22, 2010; 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.