Individual provider Active NPI

Rajendraswamy Heggawadi, SLP

  • Speech-Language Pathologist
  • Queens Village, NY
National Provider Identifier
1811023195
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012577-1 Issued in NY
Practice address
8090 Winchester Blvd
Queens Village, NY 11427-2151
Phone
(718) 217-5839
NPI assigned
Feb 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 012577-1 NY Primary

Addresses

Primary practice location

8090 Winchester Blvd
Queens Village, NY 11427-2151

Mailing address

8090 Winchester Blvd
Queens Village, NY 11427-2151
Phone (718) 217-5839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000494 NY Practitioner - Qualified Speech Language Pathologist 8820135833 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespire, Inc.Group PAC ID 5496644015, 11 clinicians
Heartshare Wellness LTDGroup PAC ID 8921992967, 11 clinicians

Practice addresses (Care Compare)

159 E 125TH St
FL 2
New York, NY 10035-1716
Phone (212) 360-5600

177 Livingston St
Lowr Level
Brooklyn, NY 11201-7000
Phone 71879720208015

2435 Harway Ave
Brooklyn, NY 11214-6549
Phone (718) 946-6000

254 48TH St
Brooklyn, NY 11220-1012
Phone (718) 499-8884

450 19TH St
Brooklyn, NY 11215-6209
Phone (718) 499-8884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012577-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Rajeev Puttaswamy Speech Services, PLLC Speech-Language Pathologist CurrentSince Oct 12, 2018 Accepting new patients
Lifespire, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Nysarc Inc New York City Chapter CurrentSince Oct 4, 2004 Accepting new patients
Lifespire, Inc. CurrentSince Oct 1, 2018 Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578

83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811023195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272151",
            "telephone_number": "718-217-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8090 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272151",
            "telephone_number": "718-217-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGAWADI",
        "first_name": "RAJENDRASWAMY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012577-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.