Patrick Anim Addo, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010367 Issued in NY

Practice address

768 Astor Ave
Bronx, NY 10467-9304

Phone

(917) 279-6924

Fax

(347) 326-6824

NPI assigned

Apr 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Patrick Anim Addo Speech Language Pathologist PC

  • Preferred Provider Organization
  • Bronx, NY
  • NPI 1841621786
  NPD (past) Authorized official

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1861636789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679304",
            "telephone_number": "917-279-6924",
            "fax_number": "347-326-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 ASTOR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104679304",
            "telephone_number": "917-279-6924",
            "fax_number": "347-326-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIM ADDO",
        "first_name": "PATRICK",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010367",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "010367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Amaka Anianwu
• Emilienne Sophie Anibe-Bah
• Shazia Anif
• Anil Gupta,M.D.,P.C.
• Anil Pharmacy Inc
• Priscilla Anim
• William Animdee, LPN
• Maria Teresa Aningalan, PT
• Kisra Anis
• Sherif Anis

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, 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 Apr 22, 2009; 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.