Organization Active NPI

Aspyr Speech Language Pathology Services, PC

  • Speech-Language Pathologist
  • Fresh Meadows, NY
National Provider Identifier
1760701726
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015087 Issued in NY
Legal business name
ASPYR SPEECH LANGUAGE PATHOLOGY SERVICES, PC
Practice address
6143 186TH St
Suite C113/114
Fresh Meadows, NY 11365-2710
Phone
(646) 325-8889
Fax
(347) 410-8174
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gladys Cecilia Jimenez, MS, CCC-SLPNPI 1346494259
Title
President
Phone
(646) 325-8889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 015087 NY Primary

Addresses

Primary practice location

6143 186TH St
Suite C113/114
Fresh Meadows, NY 11365-2710

Mailing address

14212 Holly Ave
Flushing, NY 11355-2240
Phone (646) 325-8889

National Provider Directory

National Provider Directory

Locations

6143 186th St
Ste C113114
Fresh Meadows, NY 11365
Phone (646) 325-8889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1760701726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14212 HOLLY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552240",
            "telephone_number": "646-325-8889",
            "fax_number": "347-410-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 186TH ST",
            "address_2": "SUITE C113/114",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "646-325-8889",
            "fax_number": "347-410-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPYR SPEECH LANGUAGE PATHOLOGY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-325-8889",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.