Individual provider Active NPI

Layla Telab

  • Speech-Language Pathologist
  • Long Beach, NY
National Provider Identifier
1891540308
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034189-01 Issued in NY
Practice address
274 W Broadway
Long Beach, NY 11561-3911
Phone
(516) 897-0140
NPI assigned
Apr 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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 034189-01 NY Primary

Addresses

Primary practice location

274 W Broadway
Long Beach, NY 11561-3911

Mailing address

99 Linden St
Malverne, NY 11565-1335

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
034189-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ats Rehab OT & PT & SLP PLLC Speech-Language Pathologist CurrentSince Apr 8, 2024 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

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": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1891540308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 LINDEN ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W BROADWAY",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613911",
            "telephone_number": "516-897-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELAB",
        "first_name": "LAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034189-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 18, 2024; 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.