David Inzerillo, M.S. CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018935 Issued in NY

Practice address

157 Senator St
Brooklyn, NY 11220-5116

Phone

(718) 551-8307

NPI assigned

Jan 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

New York Medical College, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• University Physicians of Brooklyn, Inc.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1366506271
  Medicare reassignment

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263081600000",
    "number": "1730419995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 SENATOR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205116",
            "telephone_number": "718-551-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 SENATOR ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205116",
            "telephone_number": "718-551-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZERILLO",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry H Intsiful, M.D.
• Invest 4 Wellness
• Invictus Pharmacy Corp
• David G Inwood, MD
• Lawrence Inyang, MD
• Michael Thomas Inzerillo
• Eli Inzlicht-Sprei, M.D.
• Inzlicht, Lewin & Winiarsky MD, PLLC
• Inzlicht, Lewin & Winiarsky, MD, PLLC
• Inzlicht, Lewin, & Winirasky M.D., P.L.L.C.

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Jan 10, 2010; 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.