Elizama Pons-Montalvo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

032789-01 Issued in NY

Practice address

3425 82ND St
Jackson Heights, NY 11372-2967

Phone

(718) 898-6973

NPI assigned

Feb 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1942907720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 82ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 82ND ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113722967",
            "telephone_number": "718-898-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONS-MONTALVO",
        "first_name": "ELIZAMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032789-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Podiatry Family Foot Care P.C.
• Bradley Polan, OPTICIAN
• Jossiel David Polanco Rosado, LMSW
• Albina Polt, DDS
• Alexa Karen Ponce, LCSW
• Melissa Noemi Portan, LMSW, MED
• Humberto S. Portillo, M.D.
• Shannon Potts
• Consuelo Trinidad Poveda, DDS
• Prachi Corporation

• Speech-Language Pathologist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.