Individual provider Active NPI

Susan Leon Leventer, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Teaneck, NJ
National Provider Identifier
1790919264
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00368300 Issued in NJ
Practice address
671 Linden Ave
Teaneck, NJ 07666-2353
Phone
(201) 530-0296
NPI assigned
May 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2009

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 41YS00368300 NJ Primary
Speech-Language Pathologist 235Z00000X 00496 NY

Addresses

Primary practice location

671 Linden Ave
Teaneck, NJ 07666-2353

Mailing address

671 Linden Ave
Teaneck, NJ 07666-2353
Phone (201) 530-0296

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
41YS00368300NJMDSpeech-Language Pathologist
00496NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242086400000",
    "number": "1790919264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 LINDEN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662353",
            "telephone_number": "201-530-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 LINDEN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662353",
            "telephone_number": "201-530-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENTER",
        "first_name": "SUSAN",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00368300",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "00496",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.