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Deactivated NPI 1841604824 Deactivated / Inactive NPI Female Practitioner

Elisa Samuels , MA, CCC-SLP

Speech-Language Pathologist • Flushing, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Elisa Samuels has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2014
NPI Deactivation Date June 30, 2015
Total Practice Duration ~1 Years of Practice (2014 – 2015)

Professional Overview & Biography Verified Profile Summary

Elisa Samuels, MA, CCC-SLP was a registered Speech-Language Pathologist practicing in Flushing, NY. Throughout an active medical career spanning 1 years, Elisa Samuels provided care at the practice location at 15010 71ST AVE until profile deactivation on 2015-06-30.

Practice Location & Contact Primary Location

Practice Address

15010 71st Ave
Apt. 4b

Flushing, NY 113672143

Telephone 5163985635

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

CMS Verified: 2025-01-30
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 021281

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dyan Bensoussan , CCC-SLP

Speech-Language Pathologist

NPI 1689905887

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

8 Historical Events
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Updated Business Mailing Address January 30, 2025

Registered at 983 WOOD ST, WOODMERE, NY 115981726 (Tel: 5163985635)

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NPI Profile Reactivated November 30, 2016

Record officially reactivated for active practice on November 30, 2016

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Updated Practice Location November 30, 2016

Registered at 15010 71ST AVE, APT. 4B, FLUSHING, NY 113672143 (Tel: 5163985635)

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Updated Business Mailing Address November 30, 2016

Registered at 15010 71ST AVE, APT. 4B, FLUSHING, NY 113672143 (Tel: 5163985635)

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Provider Name / Credentials Updated November 30, 2016

Recorded as ELISA SAMUELS, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Speech-Language Pathologist (License #021281 in NY)

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NPI Profile Deactivated June 30, 2015

Record deactivated on June 30, 2015

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Initial NPI Registration & Enumeration June 17, 2014

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: 1841604824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2014
Last Update: January 30, 2025
Deactivation Date: June 30, 2015
Sole Proprietor: Yes

Mailing Address

983 Wood St

Woodmere, NY 115981726

Phone: 5163985635

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

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