Individual provider Active NPI

Alla Shnaider, MA, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1750604534
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020591-1 Issued in NY
Practice address
9520 63Rd Rd Ste H
Rego Park, NY 11374-1145
Phone
(718) 753-0100
Fax
(888) 500-0406
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 020591-1 NY Primary

Addresses

Primary practice location

9520 63Rd Rd Ste H
Rego Park, NY 11374-1145

Mailing address

9520 63Rd Rd Ste H
Rego Park, NY 11374-1145

Other identifiers 1

IdentifierTypeStateIssuer
1292747MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121207000126 NY Practitioner - Qualified Speech Language Pathologist 1456503929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9520 63Rd Rd
Suite H
Rego Park, NY 11374-1145
Phone (718) 755-0656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
020591-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aliz Therapy SLP PC Speech-Language Pathologist CurrentSince Oct 1, 2012 Accepting new patients

Locations

9520 63rd Rd
Ste H
Rego Park, NY 11374
Phone (347) 813-4143

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1750604534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 63RD RD STE H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 63RD RD STE H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741145",
            "telephone_number": "718-753-0100",
            "fax_number": "888-500-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAIDER",
        "first_name": "ALLA",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020591-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1292747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.