Individual provider Active NPI

Masha Kamenshikov

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1881469112
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
I20231205001458 NY Practitioner - Qualified Speech Language Pathologist 4385092162 Reassigns benefits to 1 organization

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
B and L Health IncGroup PAC ID 9830124908, 26 clinicians

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

LicenseStateTypeSpecialty
033792NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
B & L Health Inc Single Specialty CurrentSince Nov 14, 2023 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

  • FHIR API: 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.

Verify at the official NPI Registry.