Active NPI
Small Talk Pediatric Speech Therapy
- Early Intervention Provider Agency
- New York, NY
National Provider Identifier
1821446790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 025244
- Legal business name
- SMALL TALK PEDIATRIC SPEECH THERAPY
- Practice address
- 1732 1St Ave # 25553
New York, NY 10128-5177 - Phone
- (646) 470-3401
- NPI assigned
- Jun 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Keira Stewart, MS.CCC-SLP
- Title
- Speech Language Pathologist
- Phone
- (646) 385-2354
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 025244 | NY | Primary |
Addresses
Primary practice location
1732 1St Ave # 25553
New York, NY 10128-5177
Mailing address
1732 1St Ave # 25553
New York, NY 10128-5177
Phone (646) 470-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04253105 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
1732 1st Ave
#25553
New York, NY 10128
Phone (646) 470-3401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464739200000",
"number": "1821446790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1732 1ST AVE # 25553",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285177",
"telephone_number": "646-470-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1732 1ST AVE # 25553",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285177",
"telephone_number": "646-470-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL TALK PEDIATRIC SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-01",
"last_updated": "2016-06-01",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "KEIRA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "646-385-2354",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MS.CCC-SLP"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "025244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04253105",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.