Individual provider Active NPI

Esther Yun, MS, CCC-SLP

  • Speech-Language Pathologist
  • Monroe, NY
National Provider Identifier
1730616673
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
026697 Issued in NY
Practice address
45 Gilbert St Ext
Monroe, NY 10950-2815
Phone
(845) 783-3022
Fax
(845) 783-3042
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 026697 NY Primary

Addresses

Primary practice location

45 Gilbert St Ext
Monroe, NY 10950-2815

Mailing address

PO Box 72
Fort Montgomery, NY 10922-0072
Phone (914) 953-0490

Other practice location 1

PO Box 72
Fort Montgomery, NY 10922-0072
Phone (914) 953-0490

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

LicenseStateTypeSpecialty
026697NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730616673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72",
            "city": "FORT MONTGOMERY",
            "state": "NY",
            "postal_code": "109220072",
            "telephone_number": "914-953-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GILBERT ST EXT",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502815",
            "telephone_number": "845-783-3022",
            "fax_number": "845-783-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 72",
            "address_purpose": "LOCATION",
            "city": "Fort Montgomery",
            "state": "NY",
            "postal_code": "109220072",
            "country_code": "US",
            "telephone_number": "914-953-0490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUN",
        "first_name": "ESTHER",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.