Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275841140 Individual Practitioner Female Practitioner

Alicia Helena Bolanos Andrade , SLPD, CCC-SLP, TSHH, BE

Speech-Language Pathologist • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Alicia Bolanos Andrade, SLPD, CCC-SLP, TSHH, BE is a registered healthcare professional specializing in Speech-Language Pathologist in Bronx, NY. Practice services are available at 628 TINTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

628 Tinton Ave

Bronx, NY 104553218

Telephone 7182925478
Associated Practice Facility / Clinic
🏢 Urban Health Plan, Inc. Facility NPI 1962823328

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1176 Specialists

Practicing in Bronx, NY (25106 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-17
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 022627-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03671116 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Waiming Cheung , MS

Occupational Therapist

NPI 1093080061

Master of Science

NPI 1134483522
Renen Samalea

Physical Therapist

NPI 1225303241
Mildred Corona Padron , MS, CCC-SLP

Speech-Language Pathologist

NPI 1386187862

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Marilyn Rodriguez , SLP-CCC

Speech-Language Pathologist

NPI 1780986216

SLPCCC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address February 17, 2025

Registered at 1350 15TH ST APT 11S, FORT LEE, NJ 070242024 (Tel: 3472560030)

📍
Updated Practice Location March 11, 2023

Registered at 628 TINTON AVE, BRONX, NY 104553218 (Tel: 7182925478)

👤
Provider Name / Credentials Updated March 11, 2023

Recorded as ALICIA BOLANOS ANDRADE, SLPD,CCC-SLP/TSHH/BE

👤
Provider Name / Credentials Updated May 11, 2020

Recorded as ALICIA BOLANOS ANDRADE, MATL, MS- CCC-SLP/TS

📍
Updated Practice Location December 09, 2019

Registered at 628 TINTON AVENUE, BRONX, NY 10455 (Tel: 7182925478)

📍
Updated Business Mailing Address December 09, 2019

Registered at 628 TINTON AVENUE, BRONX, NY 10455 (Tel: 7182925478)

👤
Provider Name / Credentials Updated December 09, 2019

Recorded as ALICIA BOLANOS-ANDRADE, MATL, MS- CCC-SLP/TS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Speech-Language Pathologist (License #022627-1 in NY)

NPI Profile Active January 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2016

Registered at 1100 HARVARD PL, FORT LEE, NJ 070241629 (Tel: 3472560030)

📍
Updated Business Mailing Address January 21, 2016

Registered at 1350 15 ST, APT. 10-0, FORT LEE, NJ 07024 (Tel: 2019444493)

👤
Provider Name / Credentials Updated January 21, 2016

Recorded as ALICIA BOLANOS-ANDRADE, M.A.T.L; M.S. CCC-SL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2016

Speech-Language Pathologist (License #022627-1 in NY)

🟢
Initial NPI Registration & Enumeration September 14, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275841140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2010
Last Update: February 17, 2025
Sole Proprietor: No

Mailing Address

1350 15th St Apt 11s

Fort Lee, NJ 070242024

Phone: 3472560030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.