Active NPI
Susan Weisman Malca
- Speech-Language Pathologist
- Davie, FL
National Provider Identifier
1992895940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 6153
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889905300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA 6153 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bi-County Speech Language Pathology, Inc. | Speech-Language Pathologist | Current | 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.
-
- Clinic/Center
- Davie, FL
- NPI 1447265822
Speech-Language Pathologist
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.