Active NPI
Saneddy Quezada, MA, CCC-SLP TSSLD
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1881007805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 025703
- Practice address
- 3050 Webster Ave
Bronx, NY 10467-4901 - Phone
- (718) 585-2100
- NPI assigned
- Jun 6, 2014
- 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 | 025703 | NY | Primary |
Addresses
Primary practice location
3050 Webster Ave
Bronx, NY 10467-4901
Mailing address
25 Winters St
Bronx, NY 10464-1519
Phone (347) 582-4661
Other practice location 1
2971 Zulette Ave
Bronx, NY 10461-5513
Phone (347) 582-4661
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025703 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881007805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WINTERS ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104641519",
"telephone_number": "347-582-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 WEBSTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104674901",
"telephone_number": "718-585-2100"
}
],
"practiceLocations": [
{
"address_1": "2971 Zulette Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104615513",
"country_code": "US",
"telephone_number": "347-582-4661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEZADA",
"first_name": "SANEDDY",
"name_prefix": "Miss",
"credential": "MA, CCC-SLP TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.