Manita Speech Pathology, P.C.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

020522 Issued in NY

Legal business name

MANITA SPEECH PATHOLOGY, P.C.

Practice address

3508 Fillmore Ave
Brooklyn, NY 11234-4832

Phone

(718) 395-0032

NPI assigned

Jan 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yelena Manita, SLP(MS, CCC-SLP)

Title

Speech Language Pathologist

Phone

(718) 395-0032

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516579200000",
    "number": "1912415134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 FILLMORE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344832",
            "telephone_number": "718-395-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 FILLMORE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344832",
            "telephone_number": "718-395-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITA SPEECH PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A",
        "authorized_official_last_name": "MANITA",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-395-0032",
        "authorized_official_credential": "SLP(MS, CCC-SLP)"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "020522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manira Chowdhury Medical Care P C
• Anthony Gerard Maniscalco, M.D.
• Joseph Maniscalco, DDS
• Lyllette Maniscalco
• Lisa Manisero
• Yelena Manita, SLP
• Manitas Early Intervention Services
• Beth Lynn Manitsky, LCSW
• Akshada Manjarekar, PT, DPT
• Manjay LLC

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.