Active NPI
Yurico Soriano
- Speech-Language Pathologist
- Goshen, NY
National Provider Identifier
1912259375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031528
- Practice address
- 301 Main St Ste B
Goshen, NY 10924-1636 - Phone
- (845) 458-8661
- NPI assigned
- Oct 10, 2012
- Last updated
- Jun 30, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Speech-Language Pathologist | 235Z00000X | 031528 | NY | Primary |
Addresses
Primary practice location
301 Main St Ste B
Goshen, NY 10924-1636
Mailing address
17 Temby Dr
Dover Plains, NY 12522-5841
Phone (914) 258-7798
Other practice location 1
2510 Westchester Ave
Ste 102
Bronx, NY 10461-3512
Phone (718) 597-5558 ext. 2325
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1063775310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1912259375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 TEMBY DR",
"city": "DOVER PLAINS",
"state": "NY",
"postal_code": "125225841",
"telephone_number": "914-258-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MAIN ST STE B",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241636",
"telephone_number": "845-458-8661"
}
],
"practiceLocations": [
{
"address_1": "2510 Westchester Ave",
"address_2": "Ste 102",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104613512",
"country_code": "US",
"telephone_number": "718-597-5558 x2325",
"fax_number": "718-597-7277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORIANO",
"first_name": "YURICO",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.