Active NPI
Miriam Manasseh
- Speech-Language Pathologist
- Atlanta, GA
National Provider Identifier
1932405511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1111821
- Practice address
- 2531 Briarcliff Rd NE
Atlanta, GA 30329-3017 - Phone
- (443) 854-7366
- NPI assigned
- Jan 31, 2011
- 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 | 1111821 | NY | Primary |
Addresses
Primary practice location
2531 Briarcliff Rd NE
Atlanta, GA 30329-3017
Mailing address
14722 70TH Rd
Flushing, NY 11367-1720
Phone (718) 575-1445
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 |
|---|---|---|---|
| 1111821 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1932405511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14722 70TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671720",
"telephone_number": "718-575-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2531 BRIARCLIFF RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303293017",
"telephone_number": "443-854-7366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANASSEH",
"first_name": "MIRIAM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "1111821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.