Individual provider Active NPI

Ruven Porges, SLP

  • Speech-Language Pathologist
  • Monsey, NY
National Provider Identifier
1881905248
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020476 Issued in NY
Practice address
61 Pinebrook Rd
Monsey, NY 10952-5221
Phone
(888) 578-5907
Fax
(888) 578-5907
NPI assigned
Jun 30, 2010
Last updated
Mar 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 Pathologist 235Z00000X 020476 NY Primary

Addresses

Primary practice location

61 Pinebrook Rd
Monsey, NY 10952-5221

Mailing address

61 Pinebrook Rd
Monsey, NY 10952-5221
Phone (888) 578-5907

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
020476NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1881905248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PINEBROOK RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109525221",
            "telephone_number": "888-578-5907",
            "fax_number": "888-578-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PINEBROOK RD",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109525221",
            "telephone_number": "888-578-5907",
            "fax_number": "888-578-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORGES",
        "first_name": "RUVEN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.