Individual provider Active NPI

Diana Pardilova, SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1932759511
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
60 Bell Point Dr
Brooklyn, NY 11234-6328
Phone
(917) 538-9770
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

60 Bell Point Dr
Brooklyn, NY 11234-6328

Mailing address

60 Bell Point Dr
Brooklyn, NY 11234-6328
Phone (917) 538-9770

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL brooklyn

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

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1932759511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 BELL POINT DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346328",
            "telephone_number": "917-538-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BELL POINT DR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346328",
            "telephone_number": "917-538-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDILOVA",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "brooklyn",
            "affiliation": "N",
            "address_1": "60 Bell Point Dr",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112346328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.