Individual provider Active NPI

Aviva Ann Snyderman, SLP

  • Speech-Language Pathologist
  • Eagleville, PA
National Provider Identifier
1902016645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL007349 Issued in PA
Practice address
3075 Ridge PK
Eagleville, PA 19403
Phone
(610) 265-4700
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SL007349 PA Primary

Addresses

Primary practice location

3075 Ridge PK
Eagleville, PA 19403

Mailing address

217 Canterbury CT
Blue Bell, PA 19422-1279
Phone (610) 239-7196

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
SL007349PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Advocacy Services Past Accepting new patients
The Arc Alliance Children Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902016645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 CANTERBURY CT",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221279",
            "telephone_number": "610-239-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 RIDGE PK",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "610-265-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDERMAN",
        "first_name": "AVIVA",
        "middle_name": "ANN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagleville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.