Individual provider Active NPI

Susan Beth Munz, CCC/SLP

  • Speech-Language Pathologist
  • Oakland Gardens, NY
National Provider Identifier
1891930616
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011202 Issued in NY
Practice address
21302 75TH Ave
Apt. 4F
Oakland Gardens, NY 11364-3364
Phone
(917) 691-4931
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 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 011202 NY Primary

Addresses

Primary practice location

21302 75TH Ave
Apt. 4F
Oakland Gardens, NY 11364-3364

Mailing address

21302 75TH Ave
Apt. 4F
Oakland Gardens, NY 11364-3364
Phone (917) 691-4931

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
011202NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1891930616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21302 75TH AVE",
            "address_2": "APT. 4F",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643364",
            "telephone_number": "917-691-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21302 75TH AVE",
            "address_2": "APT. 4F",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643364",
            "telephone_number": "917-691-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNZ",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.