Individual provider Active NPI

Tiffany Chew

  • Speech-Language Pathologist
  • Bayside, NY
National Provider Identifier
1730791336
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024328 Issued in NY
Practice address
21915 74TH Ave # 2
Bayside, NY 11364-3031
Phone
(917) 882-1938
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 024328 NY Primary

Addresses

Primary practice location

21915 74TH Ave # 2
Bayside, NY 11364-3031

Mailing address

21915 74TH Ave # 2
Oakland Gardens, NY 11364-3031
Phone (917) 882-1938

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL - Health Information Exchange (HIE)
Other URL Linktherapy Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
024328NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1730791336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21915 74TH AVE # 2",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643031",
            "telephone_number": "917-882-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21915 74TH AVE # 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113643031",
            "telephone_number": "917-882-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "-",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "-",
            "address_1": "21915 74th Ave # 2",
            "city": "Oakland Gardens",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113643031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Linktherapy",
            "affiliation": "N",
            "endpointDescription": "Url",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Url",
            "address_1": "21915 74th Ave # 2",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113643031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.