MR. JORGE ALBERTO BALLESTAS (NPI# 1750671855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750671855 |
| Entity Type | Individual |
| Full Name | MR. JORGE ALBERTO BALLESTAS |
| Other Name | MR. JORGE ALBERTO BALLESTAS |
| Credential | M.S. CCC-SLP |
| Practice Address |
4122 42nd St Apt 5c Sunnyside NY 11104-2711 |
| Mailing Address |
3175 E Tremont Ave Suite 2/f Bronx NY 10461-5700 |
| Practice Telephone | 6463734499 |
| Practice Fax Number | 7184069937 |
| Mailing Telephone | 7182398239 |
| Mailing Fax Number | 7187707686 |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 015216-1 | NY | Speech, Language and Hearing Service Providers |
| Street Address |
4122 42ND ST APT 5C |
| City | SUNNYSIDE |
| State | NY |
| Zip Code | 11104-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558821751 | Angelica Ramnarain | Pharmacist | 41 08 Queens Blvd., Sunnyside, NY 11104 | 2019-03-22 |
| 1336603489 | City Medical of Upper East Side, Pllc | Clinic/Center | 47-24 Queens Blvd, Sunnyside, NY 11104 | 2019-01-23 |
| 1972012201 | Matthew Koziolek | Counselor | 4404 Queens Blvd Fl 2, Sunnyside, NY 11104 | 2017-09-29 |
| 1376052555 | Clara Velma Haylock | Licensed Practical Nurse | 4528 40th Ave, 2r, Sunnyside, NY 11104 | 2017-09-20 |
| 1831630169 | Wan-jung Lin | Physical Therapist | 43-48 48th St, Sunnysid, NY 11104 | 2017-03-20 |
| 1881137875 | Eastern Pharmacy Inc | Pharmacy | 4504 Greenpoint Ave, Sunnyside, NY 11104 | 2016-11-23 |
| 1770039349 | Asian Adult Day Care Center | Clinic/Center | 4120 Queens Boulevard, Sunnyside, NY 11104 | 2016-09-01 |
| 1407210818 | Amelia Anderson | Community Health Worker | 40-31 48th Street, Sunnyside, NY 11104 | 2016-04-12 |
| 1467703801 | Maureen Eisenberg | Nurse Practitioner | 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 | 2012-09-25 |
| 1255693628 | Suman Ghosh | Specialist | 47-15, 43rd Av, Sunnyside,queens, NY 11104 | 2012-06-12 |
| Find all providers in zip 11104 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306244777 | Dulce Arevalo | Speech-Language Pathologist | 4129 46th St Apt 4b, Sunnyside, NY 11104-1846 | 2014-12-16 |
| 1427462423 | Amanda L Ball | Speech-Language Pathologist | 4116 47th Ave, Apt. 1f, Sunnyside, NY 11104-3055 | 2014-06-17 |
| 1710324371 | Timothy Pagel | Speech-Language Pathologist | 4405 Skillman Ave # 2-r, Sunnyside, NY 11104-2122 | 2013-05-22 |
| 1861836561 | Diane Capasella | Speech-Language Pathologist | 4143 43rd St Apt B4, Sunnyside, NY 11104-2501 | 2013-04-24 |
| 1316289291 | Jocelyn Fae Kupperman | Speech-Language Pathologist | 4122 42nd St, Apt 6g, Sunnyside, NY 11104-2763 | 2013-03-19 |
| 1982995981 | Esther Megias-lopez | Speech-Language Pathologist | 4107 42nd St, Apt. 4k, Sunnyside, NY 11104-2764 | 2011-04-25 |
| 1144538208 | Suzanne Ashman-kipervaser | Speech-Language Pathologist | 4725 40th St, 3b, Sunnyside, NY 11104-4055 | 2010-09-22 |
| 1346567351 | Diane O'sullivan Carney | Speech-Language Pathologist | 4521 43rd St, Sunnyside, NY 11104-2609 | 2010-04-29 |
| 1356580823 | Nelly Vargas | Speech-Language Pathologist | 5203 39th Ave, Sunnyside, NY 11104-1008 | 2009-02-06 |
| 1851484158 | Siobhan M. Ryan | Speech-Language Pathologist | 4002 44th St, Sunnyside, NY 11104-2109 | 2006-10-02 |
| Find all providers in SUNNYSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.