Active NPI
Elvin Michael Padilla Jr., TSHH
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1891031365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 812519
- Practice address
- 380 Cozine Ave
Apt. 5F
Brooklyn, NY 11207-9238 - Phone
- (718) 440-5232
- NPI assigned
- Jan 2, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 812519 | NY | Primary |
Addresses
Primary practice location
380 Cozine Ave
Apt. 5F
Brooklyn, NY 11207-9238
Mailing address
380 Cozine Ave
Apt. 5F
Brooklyn, NY 11207-9238
Phone (718) 440-5232
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
| License | State | Type | Specialty |
|---|---|---|---|
| 812519 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1891031365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 COZINE AVE",
"address_2": "APT. 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112079238",
"telephone_number": "718-440-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 COZINE AVE",
"address_2": "APT. 5F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112079238",
"telephone_number": "718-440-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "ELVIN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "TSHH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-02",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "812519",
"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 Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.