Individual provider Active NPI

Yuliya Zalavskiy

  • Speech-Language Pathologist
  • Springfield, NJ
National Provider Identifier
1760703342
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00666900 Issued in NJ
Practice address
418 Rolling Rock Rd
Springfield, NJ 07081-3707
Phone
(917) 589-4491
NPI assigned
Jun 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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 019901-1 NY
Speech-Language Pathologist 235Z00000X 41YS00666900 NJ Primary

Addresses

Primary practice location

418 Rolling Rock Rd
Springfield, NJ 07081-3707

Mailing address

418 Rolling Rock Rd
Springfield, NJ 07081-3707
Phone (917) 589-4491

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
41YS00666900NJMDSpeech-Language Pathologist
019901-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1760703342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 ROLLING ROCK RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813707",
            "telephone_number": "917-589-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 ROLLING ROCK RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813707",
            "telephone_number": "917-589-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALAVSKIY",
        "first_name": "YULIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019901-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00666900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.