Active NPI
Masha Kamenshikov
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1881469112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1655 E 13TH St
Brooklyn, NY 11229-1101 - Phone
- (718) 339-6300
- Fax
- (718) 336-2084
- NPI assigned
- Nov 16, 2023
- 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 | Primary |
Addresses
Primary practice location
1655 E 13TH St
Brooklyn, NY 11229-1101
Mailing address
1100 Coney Island Ave Ste 2
Brooklyn, NY 11230-2343
Phone (718) 747-8802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1655 E 13TH St
Brooklyn, NY 11229-1101
Phone (718) 339-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033792 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B & L Health Inc | Single Specialty | Current | Accepting new patients |
Locations
1100 Coney Island Ave
Ste 2
Brooklyn, NY 11230
Phone (718) 434-2100
1655 E 13th St
Brooklyn, NY 11229
Phone (718) 339-3100
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJEBCD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700092800000",
"number": "1881469112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CONEY ISLAND AVE STE 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112302343",
"telephone_number": "718-747-8802",
"fax_number": "718-339-7724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 E 13TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291101",
"telephone_number": "718-339-6300",
"fax_number": "718-336-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMENSHIKOV",
"first_name": "MASHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2023-11-16",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.