Metropolitan Dysphagia Specialists

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

METROPOLITAN DYSPHAGIA SPECIALISTS

Practice address

14810 Ashford CT
Laurel, MD 20707-3760

Phone

(301) 327-0331

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Lesley-Ann Bovell, M.ED. CCC-SLP

Title

Ceo/SLP

Phone

(301) 327-0331

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1922676733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14625 BALTIMORE AVE # 343",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14810 ASHFORD CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073760",
            "telephone_number": "301-327-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN DYSPHAGIA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "BOVELL",
        "authorized_official_first_name": "LESLEY-ANN",
        "authorized_official_title_or_position": "CEO/SLP",
        "authorized_official_telephone_number": "301-327-0331",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "14810 Ashford Ct",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207073760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.