Individual provider Active NPI

Gabrielle Sophie Bleynis, SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1942017165
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
036235 Issued in NY
Practice address
636 Louisiana Ave
Brooklyn, NY 11239-1526
Phone
(718) 557-0777
NPI assigned
Dec 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 036235 NY Primary

Addresses

Primary practice location

636 Louisiana Ave
Brooklyn, NY 11239-1526

Mailing address

2370 Ocean Ave Apt 3D
Brooklyn, NY 11229-3515
Phone (646) 549-7284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119004901 NY Practitioner - Qualified Speech Language Pathologist 4486146230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ats Rehab OT and PT and SLP PLLCGroup PAC ID 2567734452, 39 clinicians

Practice addresses (Care Compare)

110 Henderson Ave
Staten Island, NY 10301-2108
Phone (718) 809-4370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036235NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ats Rehab OT & PT & SLP PLLC Speech-Language Pathologist CurrentSince Sep 12, 2025 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

636 Louisiana Ave
Brooklyn, NY 11239
Phone (718) 557-0777

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1942017165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 OCEAN AVE APT 3D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293515",
            "telephone_number": "646-549-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526",
            "telephone_number": "718-557-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEYNIS",
        "first_name": "GABRIELLE",
        "middle_name": "SOPHIE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "036235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.