Individual provider Active NPI

Yuwrajh Durgude

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1962823419
Registry record updated Jan 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023277 Issued in NY
Practice address
378 Baltic St
Apt 6B
Brooklyn, NY 11201-6593
Phone
(917) 864-6478
NPI assigned
Jan 1, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2014

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 023277 NY Primary

Addresses

Primary practice location

378 Baltic St
Apt 6B
Brooklyn, NY 11201-6593

Mailing address

378 Baltic St
Apt 6B
Brooklyn, NY 11201-6593
Phone (917) 864-6478

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

LicenseStateTypeSpecialty
023277NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1388534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388534400000",
    "number": "1962823419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 BALTIC ST",
            "address_2": "APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016593",
            "telephone_number": "917-864-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 BALTIC ST",
            "address_2": "APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016593",
            "telephone_number": "917-864-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURGUDE",
        "first_name": "YUWRAJH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023277",
            "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 Jan 1, 2014; 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.