Individual provider Active NPI

Sharone Chusid, M.S. CCC SLP, TSSLD

  • Speech-Language Pathologist
  • Long Beach, NY
National Provider Identifier
1902214828
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
106 Delaware Ave
Long Beach, NY 11561-1539
Phone
(917) 407-7472
NPI assigned
Jul 23, 2014
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 Primary

Addresses

Primary practice location

106 Delaware Ave
Long Beach, NY 11561-1539

Mailing address

106 Delaware Ave
Long Beach, NY 11561-1539
Phone (917) 407-7472

Other practice location 1

1575 McDonald Ave
First Floor
Brooklyn, NY 11230-5512
Phone (718) 375-8885

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1902214828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DELAWARE AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611539",
            "telephone_number": "917-407-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DELAWARE AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611539",
            "telephone_number": "917-407-7472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 McDonald Ave",
            "address_2": "First Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112305512",
            "country_code": "US",
            "telephone_number": "718-375-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUSID",
        "first_name": "SHARONE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Jul 22, 2021; 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.