Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jane Kim

Speech-Language Pathologist β€’ Whitestone, NY

Active NPI 1174053987 Individual Practitioner Female Practitioner
Practice location in NPPES

15050 14th Rd
Whitestone, NY 113572609

Call 7187670091 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15050 14th Rd

Whitestone, NY 113572609

Telephone 7187670091
Organization at the Same NPPES Address or Phone
Theratalk Speech Language Pathology P.c. Facility NPI 1699909465

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Whitestone and New York

256 active clinicians are listed under Speech-Language Pathologist with a practice address in Whitestone, NY (24,885 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Whitestone

0% of these 256 clinicians have the CMS telehealth indicator.

1.6% of these 256 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-10-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES NY 027917

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
05293105 (NY)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Nicholas Obidienzo , OTR, L

Occupational Therapist - Pediatrics

NPI 1689021859

Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address October 19, 2020

Registered at 8702 248TH ST, BELLEROSE, NY 114262008 (Tel: 9175027121)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Speech-Language Pathologist (license number reported to NPPES: NY 027917)

βœ…
NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2017

Registered at 15050 14TH RD, WHITESTONE, NY 113572609 (Tel: 7187670091)

πŸ“
Business Mailing Address (Initial Record) June 14, 2017

Registered at 6539 108TH ST APT C6, FOREST HILLS, NY 113752213 (Tel: 9175027121)

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2017

Recorded as JANE KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Speech-Language Pathologist

🟒
Initial NPI Registration & Enumeration June 14, 2017

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1174053987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: October 19, 2020
Sole Proprietor: No

Other Speech-Language Pathologists in Whitestone

Mailing Address

8702 248th St

Bellerose, NY 114262008

Phone: 9175027121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.