Bayside Speech & Language Pals, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020714 Issued in NY

Legal business name

BAYSIDE SPEECH & LANGUAGE PALS, PLLC

Practice address

5847 Francis Lewis Blvd
Suite 15
Bayside, NY 11364-1698

Phone

(347) 408-4247

Fax

(347) 408-4398

NPI assigned

Oct 20, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lindsey Peral, M.A. CCC-SLP

Title

Speech-Language Pathologist

Phone

(516) 457-3794

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Cerone

  • Registered Dietitian
  • Plainview, NY
  • NPI 1023483245

  Speech-Language Pathologist

  NPD (past)
• Samantha L Perlman, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bayside, NY
  • NPI 1366649287
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1881098879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 15",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641698",
            "telephone_number": "347-408-4247",
            "fax_number": "347-408-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 15",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641698",
            "telephone_number": "347-408-4247",
            "fax_number": "347-408-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE SPEECH & LANGUAGE PALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "PERAL",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-457-3794",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bayside, NY
• Providers in Bayside, 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 Oct 20, 2014; 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.