Kimberly Sundar, MA, CCC-SLP/TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017445 Issued in NY

Practice address

15007 Northern Blvd
Flushing, NY 11354-3872

Phone

(718) 353-2330

NPI assigned

Nov 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1851692925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15007 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543872",
            "telephone_number": "718-353-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15007 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543872",
            "telephone_number": "718-353-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDAR",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP/TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yan Qun Sun, M.D.
• Yanliang Sun, M.D.
• Yongxia Sun
• Yu Sun
• Zhijun Sun, LMSW
• Varuna Meenakshi Sundaram, M.D.
• Mary Sunderraj, D.D.S
• Sunflower Pharmacy LLC
• Jeffrey Sung, MD
• Jisu Sung

• Speech-Language Pathologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.