Active NPI
Ilona Shakhguseynova
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1902238488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 024534
- Practice address
- 2844 Ocean Ave Ste 3
Brooklyn, NY 11230 - Phone
- (646) 905-8100
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 024534 | NY | Primary |
Addresses
Primary practice location
2844 Ocean Ave Ste 3
Brooklyn, NY 11230
Mailing address
2250 E 4TH St Apt 4O
Brooklyn, NY 11223-4813
Phone (347) 410-2511
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1902238488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 E 4TH ST APT 4O",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112234813",
"telephone_number": "347-410-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2844 OCEAN AVE STE 3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11230",
"telephone_number": "646-905-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKHGUSEYNOVA",
"first_name": "ILONA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "024534",
"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 Nov 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.