Individual provider Active NPI

Nikita N. Subnani

  • Speech-Language Pathologist
  • Philadelphia, PA
National Provider Identifier
1811792914
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
935 Caledonia St
Philadelphia, PA 19128-1129
Phone
(267) 222-2539
NPI assigned
Feb 13, 2025
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 Primary

Addresses

Primary practice location

935 Caledonia St
Philadelphia, PA 19128-1129

Mailing address

633 W 5TH St Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 377-6318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, ME, MA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250224001245 PA Practitioner - Qualified Speech Language Pathologist 5294255048 Reassigns benefits to 1 organization
I20250227002574 NJ Practitioner - Qualified Speech Language Pathologist 5294255048 Reassigns benefits to 1 organization
I20250310000750 ME Practitioner - Qualified Speech Language Pathologist 5294255048 Reassigns benefits to 1 organization
I20250408001098 MA Practitioner - Qualified Speech Language Pathologist 5294255048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Therapy of New Jersey PCGroup PAC ID 2062889512, 12 clinicians

Practice addresses (Care Compare)

101 Eisenhower Pkwy
Suite 300
Roseland, NJ 07068-1054
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Apr 20, 2025 Accepting new patients
Expressable Therapy of New Jersey PC Speech-Language Pathologist CurrentSince Apr 25, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

300 Baker Ave
Ste 300
Concord, MA 01742
Phone (864) 336-2731

700 Main St
Ste 3
Bangor, ME 04401
Phone (207) 659-8366

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

250 Pehle Ave
Ste 200
Saddle Brook, NJ 07663
Phone (201) 474-2113

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 2

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": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1811792914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W 5TH ST OFC 2876B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900712005",
            "telephone_number": "512-377-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CALEDONIA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191281129",
            "telephone_number": "267-222-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBNANI",
        "first_name": "NIKITA",
        "middle_name": "N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.