Meredith Sarah Rubin, MA, CCC-SLP, HPCS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010563-1 Issued in NY

Practice address

200 Pinehurst Ave Apt 5G
New York, NY 10033-1741

Phone

(201) 306-9818

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Meredith Sarah Bazaar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Grounded Mobility, LLC

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1912727348
  NPD Authorized official
• MSB Therapy, LLC

  • Speech-Language Pathologist
  • Ringwood, NJ
  • NPI 1578624177
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1780745570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PINEHURST AVE APT 5G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331741",
            "telephone_number": "201-306-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PINEHURST AVE APT 5G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331741",
            "telephone_number": "201-306-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MEREDITH",
        "middle_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP, HPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00374600",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010563-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "BAZAAR",
            "middle_name": "SARAH",
            "prefix": "MS.",
            "credential": "MA, CCC-SLP, HPCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margolit Rubin, RD
• Mark Rubin
• Marsha E Rubin, D.D.S.
• Maya Rubin, MD
• Maya Rachel Rubin
• Michael Rubin, MD, FRCP(C)
• Michael Rubin, M.D.
• Mishaela Ruth Rubin, M.D.
• Moshe Rubin, M.D.
• Pamela Beth Rubin

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 Oct 15, 2020; 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.