Individual provider Active NPI

Eric Zegerman, SLP

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1750682274
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019336 Issued in NY
Practice address
7504 150TH St
Apt 2G
Flushing, NY 11367-2910
Phone
(917) 755-4177
NPI assigned
Nov 15, 2010
Last updated
Nov 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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 019336 NY Primary

Addresses

Primary practice location

7504 150TH St
Apt 2G
Flushing, NY 11367-2910

Mailing address

7504 150TH St
Apt 2G
Flushing, NY 11367-2910
Phone (917) 755-4177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230201002305 NY Practitioner - Qualified Speech Language Pathologist 3375729171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019336NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates, Inc. Speech-Language Pathologist CurrentSince Jan 10, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1750682274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 150TH ST",
            "address_2": "APT 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672910",
            "telephone_number": "917-755-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 150TH ST",
            "address_2": "APT 2G",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672910",
            "telephone_number": "917-755-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGERMAN",
        "first_name": "ERIC",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.