Active NPI
Jose G Centeno, PHD
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1871087924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5048-1
- Practice address
- 145 E 15TH St Apt 9F
New York, NY 10003-3538 - Phone
- (212) 533-7170
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 5048-1 | NY | Primary |
Addresses
Primary practice location
145 E 15TH St Apt 9F
New York, NY 10003-3538
Mailing address
145 E 15TH St Apt 9F
New York, NY 10003-3538
Phone (212) 533-7170
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5048-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1871087924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 E 15TH ST APT 9F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033538",
"telephone_number": "212-533-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E 15TH ST APT 9F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033538",
"telephone_number": "212-533-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENTENO",
"first_name": "JOSE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "5048-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Ricardo Cendagorta, RPH
- Luis Cenedese, MD
- Marisa Censani, MD
- Carola E Centeno, B.S
- Jessica Centeno, RN
- Talaya Centeno, PA-C
- Center Comprehensive Health Practice
- Center for All Abilities, Inc.
- Center for Alternative Sentencing and Employment Services
- Center for Alternative Sentencing and Employment Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.