Individual provider Active NPI

Frida Indiana Matute, M.A. CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1730529272
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021181-1 Issued in NY
Practice address
246 5TH Ave
Suite 521
New York, NY 10001-7603
Phone
(917) 960-3730
Fax
(888) 807-7794
NPI assigned
Jun 28, 2013
Last updated
Oct 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 021181-1 NY Primary
Speech-Language Pathologist 235Z00000X 12150081 NY

Addresses

Primary practice location

246 5TH Ave
Suite 521
New York, NY 10001-7603

Mailing address

246 Fifth Avenue
Suite 521
New York, NY 10001-5012
Phone (917) 960-3730

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
021181-1NYMDSpeech-Language Pathologist
12150081NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Open Lines Speech and Communication PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1730529272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FIFTH AVENUE",
            "address_2": "SUITE 521",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015012",
            "telephone_number": "917-960-3730",
            "fax_number": "888-807-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 5TH AVE",
            "address_2": "SUITE 521",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017603",
            "telephone_number": "917-960-3730",
            "fax_number": "888-807-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUTE",
        "first_name": "FRIDA",
        "middle_name": "INDIANA",
        "name_prefix": "Ms.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021181-1",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12150081",
            "primary": false
        }
    ],
    "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 Oct 20, 2016; 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.