Individual provider Active NPI

Laura Veronica Balda

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1881839744
Registry record updated Dec 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015276-1 Issued in NY
Practice address
60 Madison Ave FL 8
New York, NY 10010-1676
Phone
(212) 684-0099
NPI assigned
Dec 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 015276-1 NY Primary

Addresses

Primary practice location

60 Madison Ave FL 8
New York, NY 10010-1676

Mailing address

1884 50TH St # 2
Brooklyn, NY 11204-1252
Phone (718) 908-0718

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

State licenses

LicenseStateTypeSpecialty
015276-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1228608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228608000000",
    "number": "1881839744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 50TH ST # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041252",
            "telephone_number": "718-908-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MADISON AVE FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101676",
            "telephone_number": "212-684-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDA",
        "first_name": "LAURA",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-07",
        "last_updated": "2008-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015276-1",
            "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 Dec 7, 2008; 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.