NPIMap

Organization Active NPI

SLP Ny Consultant PC

  • Speech-Language Pathologist
  • Williston Park, NY
National Provider Identifier
1952539710
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01313-4 Issued in NY
Legal business name
SLP NY CONSULTANT PC
Practice address
192 Colonial Ave
Williston Park, NY 11596-1046
Phone
(917) 821-1056
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Carolyn GrangerNPI 1023244415
Title
Ceo and Speech/Language Pathologist
Phone
(917) 821-1056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 01313-4 NY Primary

Addresses

Primary practice location

192 Colonial Ave
Williston Park, NY 11596-1046

Mailing address

192 Colonial Ave
Williston Park, NY 11596-1046

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1952539710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 COLONIAL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 COLONIAL AVE",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115961046",
            "telephone_number": "917-821-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP NY CONSULTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "GRANGER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO AND SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-821-1056"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "01313-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.