Organization Active NPI

Keystone SLP PLLC

  • Hearing and Speech Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1841055886
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
KEYSTONE SLP PLLC
Practice address
145 Park PL Apt 4C
Brooklyn, NY 11217-3378
Phone
(646) 281-5946
NPI assigned
Feb 19, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Ania BakunovaNPI 1922644707
Title
SLP
Phone
(646) 281-5946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary
Lactation Consultant (Non-RN) 174N00000X NU

Addresses

Primary practice location

145 Park PL Apt 4C
Brooklyn, NY 11217-3378

Mailing address

145 Park PL Apt 4C
Brooklyn, NY 11217-3378

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1841055886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 PARK PL APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PARK PL APT 4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173378",
            "telephone_number": "646-281-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SLP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "BAKUNOVA",
        "authorized_official_first_name": "ANIA",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "646-281-5946"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.