Active NPI
Jordancameronmosesplayhouse
- Speech-Language Pathologist
- Long Beach, NY
National Provider Identifier
1881998219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 001515
- Legal business name
- JORDANCAMERONMOSESPLAYHOUSE
- Practice address
- 118 Ohio Ave
Long Beach, NY 11561-1130 - Phone
- (347) 526-6812
- Fax
- (718) 780-4007
- NPI assigned
- Dec 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nelson Moses, PH.D., CCC-SLP
- Title
- President
- Phone
- (347) 526-6812
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 001515 | NY | Primary |
Addresses
Primary practice location
118 Ohio Ave
Long Beach, NY 11561-1130
Mailing address
118 Ohio Ave
Long Beach, NY 11561-1130
Phone (347) 526-6812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JOR011000 | Other | NY | NEW YORK CITY BOARD OF EDUCATION IDENTIFIER |
National Provider Directory
National Provider Directory- Tax ID family
- Jordan Cameron Moses Playhouse for Speech and Language PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Long Beach, NY
- NPI 1023437548
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Long Beach, NY
- NPI 1750507737
-
- Speech-Language Pathologist
- Long Beach, NY
- NPI 1487870465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293494400000",
"number": "1881998219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 OHIO AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611130",
"telephone_number": "347-526-6812",
"fax_number": "718-780-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 OHIO AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611130",
"telephone_number": "347-526-6812",
"fax_number": "718-780-4007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORDANCAMERONMOSESPLAYHOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-28",
"last_updated": "2010-12-28",
"status": "A",
"authorized_official_last_name": "MOSES",
"authorized_official_first_name": "NELSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "347-526-6812",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "001515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK CITY BOARD OF EDUCATION IDENTIFIER",
"identifier": "JOR011000",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.