Maria Olmedo Castrillon, S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016891-1 Issued in NY

Practice address

9730 Queens Blvd
Rego Park, NY 11374-3245

Phone

(718) 459-6279

NPI assigned

Mar 1, 2011

Last updated

Mar 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Olmedo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lifeskills Preshool Program

  • Developmentally Disabled Services Day Training Agency
  • Rego Park, NY
  • NPI 1326345232
  NPD (past)

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1760780761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743245",
            "telephone_number": "718-459-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 QUEENS BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743245",
            "telephone_number": "718-459-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLMEDO CASTRILLON",
        "first_name": "MARIA",
        "credential": "S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016891-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "OLMEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lydia C. Oh, RPH
• Ohm Drug Corp (Queens Pharmacy)
• Oksa Medical PC
• Oksana Cohen Medical PC
• Vini Oktorina
• William Olson
• Omega Optical Inc
• On Time Medical PC
• Vladimir Onefater, M.D.
• Tudor Narcis Onisei, M.D.

• Speech-Language Pathologist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.