Active NPI
Nishant Bagul
- Speech-Language Pathologist
- New Hyde Park, NY
National Provider Identifier
1841324993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012024-1
- Practice address
- 1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002 - Phone
- (516) 327-4681
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012024-1 | NY | Primary |
Addresses
Primary practice location
1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002
Mailing address
29 Meadowfarm Rd
Manhasset Hills, NY 11040-1045
Phone (516) 327-8299
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012024 | NY | MD | Occupational Therapist |
| 012024-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841324993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 MEADOWFARM RD",
"city": "MANHASSET HILLS",
"state": "NY",
"postal_code": "110401045",
"telephone_number": "516-327-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1979 MARCUS AVE",
"address_2": "SUITE 204",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421002",
"telephone_number": "516-327-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGUL",
"first_name": "NISHANT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012024-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.