Individual provider Active NPI

Eileen Marie Laide, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Belle Harbor, NY
National Provider Identifier
1811137920
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011054 Issued in NY
Practice address
212 B 133Rd Street
Belle Harbor, NY 11694-1436
Phone
(347) 246-6446
Fax
(718) 945-0167
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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 011054 NY Primary

Addresses

Primary practice location

212 B 133Rd Street
Belle Harbor, NY 11694-1436

Mailing address

212 B 133Rd Street
Rockaway, NY 11694
Phone (347) 246-6446

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1811137920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 B 133RD STREET",
            "city": "ROCKAWAY",
            "state": "NY",
            "postal_code": "11694",
            "telephone_number": "347-246-6446",
            "fax_number": "718-945-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 B 133RD STREET",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941436",
            "telephone_number": "347-246-6446",
            "fax_number": "718-945-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIDE",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.