Active NPI
Stefany Lane
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1740840750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 028903
- Practice address
- 95 Grove St
Brooklyn, NY 11221 - Phone
- (718) 574-0264
- NPI assigned
- Jun 20, 2019
- Last updated
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 028903 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 14181971 | NY |
Addresses
Primary practice location
95 Grove St
Brooklyn, NY 11221
Mailing address
3075 33Rd St Apt 1B
Long Island City, NY 11102-1425
Phone (516) 359-7023
Other practice location 1
3715 13th St
Long Island City, NY 11101
Phone (516) 359-7023
Other practice location 2
3120 37th St
Astoria, NY 11103-3933
Phone (516) 359-7023
Other practice location 3
3715 13th St
Long Island City, NY 11101
Phone (516) 359-7023
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028903 | NY | MD | Dental Hygienist |
| 14181971 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1740840750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 33RD ST APT 1B",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111021425",
"telephone_number": "516-359-7023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 GROVE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11221",
"telephone_number": "718-574-0264"
}
],
"practiceLocations": [
{
"address_1": "3715 13th St",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "11101",
"country_code": "US",
"telephone_number": "516-359-7023",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3120 37th St",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111033933",
"country_code": "US",
"telephone_number": "516-359-7023",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3715 13th St",
"address_purpose": "LOCATION",
"city": "Long Island City",
"state": "NY",
"postal_code": "11101",
"country_code": "US",
"telephone_number": "516-359-7023",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANE",
"first_name": "STEFANY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "028903",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "14181971",
"primary": false
}
],
"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 Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.