Active NPI
Idania Varillas-Arquinigo, M.S.- SLP
- Speech-Language Pathologist
- Rego Park, NY
National Provider Identifier
1730313529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017010
- Practice address
- 9745 Queens Blvd
Suite 900
Rego Park, NY 11374-2116 - Phone
- (718) 830-9274
- Fax
- (718) 830-9276
- NPI assigned
- May 7, 2009
- Last updated
- May 7, 2009
- 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 | 017010 | NY | Primary |
Addresses
Primary practice location
9745 Queens Blvd
Suite 900
Rego Park, NY 11374-2116
Mailing address
6110 Alderton St
Apt. 2P
Rego Park, NY 11374-2743
Phone (646) 289-2603
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017010 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1730313529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6110 ALDERTON ST",
"address_2": "APT. 2P",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742743",
"telephone_number": "646-289-2603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9745 QUEENS BLVD",
"address_2": "SUITE 900",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113742116",
"telephone_number": "718-830-9274",
"fax_number": "718-830-9276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARILLAS-ARQUINIGO",
"first_name": "IDANIA",
"name_prefix": "Mrs.",
"credential": "M.S.- SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.