Individual provider Active NPI

Stefany Lane

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1740840750
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
028903 Issued in NY
Practice address
95 Grove St
Brooklyn, NY 11221
Phone
(718) 574-0264
NPI assigned
Jun 20, 2019
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 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

LicenseStateTypeSpecialty
028903NYMDDental Hygienist
14181971NYMDSpeech-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.

Verify at the official NPI Registry.