Organization Active NPI

Inessa'S SLP Services, P.C.

  • Early Intervention Provider Agency
  • Queens Village, NY
National Provider Identifier
1871003392
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
INESSA'S SLP SERVICES, P.C.
Practice address
8509 217TH St
Queens Village, NY 11427-1427
Phone
(718) 690-8438
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Mrs. Inessa Mosheyeva, M.S. CCC-SLP
Title
Speech-Language Pathologist
Phone
(718) 690-8438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

8509 217TH St
Queens Village, NY 11427-1427

Mailing address

8509 217TH St
Queens Village, NY 11427-1427

Other identifiers 1

IdentifierTypeStateIssuer
24280MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1871003392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8509 217TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 217TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271427",
            "telephone_number": "718-690-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INESSA'S SLP SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "MOSHEYEVA",
        "authorized_official_first_name": "INESSA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-690-8438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.