Active NPI
Giezel Diwa, M.A, CCC-SLP
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1730491002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016085
- Practice address
- 1610 Dekalb Ave
#3A
Brooklyn, NY 11237-3906 - Phone
- (347) 701-2700
- NPI assigned
- Jul 2, 2010
- 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 | 016085 | NY | Primary |
Addresses
Primary practice location
1610 Dekalb Ave
#3A
Brooklyn, NY 11237-3906
Mailing address
1610 Dekalb Ave
#3A
Brooklyn, NY 11237-3906
Phone (347) 701-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd PT OT & SLP PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1730491002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 DEKALB AVE",
"address_2": "#3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373906",
"telephone_number": "347-701-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 DEKALB AVE",
"address_2": "#3A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373906",
"telephone_number": "347-701-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIWA",
"first_name": "GIEZEL",
"credential": "M.A, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.