Individual provider Active NPI

Susan Weisman Malca

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1992895940
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 6153 Issued in FL
Practice address
4301 S Flamingo Rd Ste 101
Davie, FL 33330-1902
Phone
(954) 312-3449
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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 SA 6153 FL Primary

Addresses

Primary practice location

4301 S Flamingo Rd Ste 101
Davie, FL 33330-1902

Mailing address

4301 S Flamingo Rd Ste 101
Davie, FL 33330-1902
Phone (954) 604-4568

Other identifiers 1

IdentifierTypeStateIssuer
889905300MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219000347 FL Practitioner - Qualified Speech Language Pathologist 2163856451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bi-County Speech Language Pathology, Inc.Group PAC ID 1557647419, 7 clinicians

Practice addresses (Care Compare)

4301 S Flamingo Rd
Suite 101
Davie, FL 33330-1902
Phone 9543123449204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA 6153FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bi-County Speech Language Pathology, Inc. Speech-Language Pathologist CurrentSince Oct 19, 2019 Accepting new patients

Locations

4301 S Flamingo Rd
Ste 101
Davie, FL 33330
Phone (954) 312-3449

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1992895940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S FLAMINGO RD STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301902",
            "telephone_number": "954-604-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S FLAMINGO RD STE 101",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333301902",
            "telephone_number": "954-312-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN MALCA",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889905300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.