Active NPI
Alan Marc Rodin, S.L.P., M.A., C.C.C.
- Speech-Language Pathologist
- Belle Harbor, NY
National Provider Identifier
1982702049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005002-1
- Practice address
- 154 Beach 124TH St
Belle Harbor, NY 11694-1840 - Phone
- (917) 742-4089
- Fax
- (718) 474-6655
- NPI assigned
- Sep 20, 2006
- Last updated
- Sep 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005002-1 | NY | Primary |
Addresses
Primary practice location
154 Beach 124TH St
Belle Harbor, NY 11694-1840
Mailing address
PO Box 920181
Arverne, NY 11692-0181
Phone (917) 742-4089
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005002-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rodin Company, LTD. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Neponsit, NY
- NPI 1063702728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283731200000",
"number": "1982702049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 920181",
"city": "ARVERNE",
"state": "NY",
"postal_code": "116920181",
"telephone_number": "917-742-4089",
"fax_number": "718-474-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 BEACH 124TH ST",
"city": "BELLE HARBOR",
"state": "NY",
"postal_code": "116941840",
"telephone_number": "917-742-4089",
"fax_number": "718-474-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODIN",
"first_name": "ALAN",
"middle_name": "MARC",
"credential": "S.L.P., M.A., C.C.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2010-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "005002-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belle Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.