Active NPI
Lauren C Sanders
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1922383033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 124248
- Practice address
- 1632 Bogart Ave
Bronx, NY 10462-4004 - Phone
- (646) 645-6929
- Fax
- (347) 621-5048
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 124248 | NY | Primary |
Addresses
Primary practice location
1632 Bogart Ave
Bronx, NY 10462-4004
Mailing address
1632 Bogart Ave
Bronx, NY 10462-4004
Phone (646) 645-6929
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
| License | State | Type | Specialty |
|---|---|---|---|
| 124248 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvelous Me Therapy Services | Current | Accepting new patients | |
| Marvelous Me Therapy & Social Services | Current | 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.
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1366943805
-
- Respite Care
- East Orange, NJ
- NPI 1093365041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1922383033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 BOGART AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104624004",
"telephone_number": "646-645-6929",
"fax_number": "347-621-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1632 BOGART AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104624004",
"telephone_number": "646-645-6929",
"fax_number": "347-621-5048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "LAUREN",
"middle_name": "C",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "124248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.