Individual provider Active NPI

Norah C.W. Breindel

  • Speech-Language Pathologist
  • East Syracuse, NY
National Provider Identifier
1790920080
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016227 Issued in NY
Practice address
1 Adler Dr
East Syracuse, NY 13057-1223
Phone
(315) 701-7900
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016227 NY Primary

Addresses

Primary practice location

1 Adler Dr
East Syracuse, NY 13057-1223

Mailing address

7409 Bay Chapel Cir
Liverpool, NY 13088-4761
Phone (315) 427-4032

Other names 1

  • Norah C Wade Former name

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
016227NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1790920080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 BAY CHAPEL CIR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884761",
            "telephone_number": "315-427-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ADLER DR",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571223",
            "telephone_number": "315-701-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINDEL",
        "first_name": "NORAH",
        "middle_name": "C.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORAH",
            "last_name": "WADE",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; 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.