Active NPI 1629272448 Individual Practitioner Female Practitioner

Mary Jean J Dyczko , CCC, SLP, TSHH, ATP

Speech-Language Pathologist • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Mary Jean Dyczko, CCC, SLP, TSHH, ATP is a registered healthcare professional specializing in Speech-Language Pathologist in Flushing, NY. Practice services are available at 47-03 168 STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

47-03 168 Street

Flushing, NY 11358

Telephone 9179691664

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Flushing, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 13.0 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

319 Specialists

Practicing in Flushing, NY (25106 Statewide)

Telehealth Adoption Rate

0.0% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 008481-1

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

008481 (NY)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2010

Registered at 47-03 168 STREET, FLUSHING, NY 11358 (Tel: 9179691664)

📍

Updated Business Mailing Address September 28, 2010

Registered at 47-03 168 STREET, FLUSHING, NY 11358 (Tel: 9179691664)

👤

Provider Name / Credentials Updated September 28, 2010

Recorded as MARY JEAN DYCZKO, CCC/SLP, TSHH, ATP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2010

Speech-Language Pathologist (License #008481-1 in NY)

🟢

Initial NPI Registration & Enumeration June 14, 2007

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: 1629272448

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 14, 2007

Last Update: September 28, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

47-03 168 Street

Flushing, NY 11358

Phone: 9179691664

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.