Active NPI
Anabela G Domingos, M.S., CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1871880229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 020398
- Practice address
- 333 Park Ave South, Suite 3D
MHH -
New York, NY 10010 - Phone
- (212) 388-1903
- NPI assigned
- Jul 6, 2011
- Sex
- Female
- 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 | 020398 | NY | Primary |
Addresses
Primary practice location
333 Park Ave South, Suite 3D
MHH -
New York, NY 10010
Mailing address
333 Park Ave South, Suite 3D
MHH -
New York, NY 10010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020398 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Anchor Health Homecare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
46 Cook St
Brooklyn, NY 11206
Phone (718) 701-7300
3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Brooklyn, NY
- NPI 1356071237
Speech-Language Pathologist
-
- Physical Therapist
- Great Neck, NY
- NPI 1841526399
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1871880229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 PARK AVE SOUTH, SUITE 3D",
"address_2": "MHH -",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PARK AVE SOUTH, SUITE 3D",
"address_2": "MHH -",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "212-388-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGOS",
"first_name": "ANABELA",
"middle_name": "G",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "020398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.