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Deactivated NPI 1689243248 Deactivated / Inactive NPI Female Practitioner

Emily Gan

Speech-Language Pathologist • Jackson Heights, 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, Emily Gan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 18, 2021
NPI Deactivation Date September 03, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Emily Gan was a registered Speech-Language Pathologist practicing in Jackson Heights, NY. Throughout an active medical career spanning 3 years, Emily Gan provided care at the practice location at 35-29 82ND STREET until profile deactivation on 2024-09-03.

Practice Location & Contact Primary Location

Practice Address

35-29 82nd Street

Jackson Heights, NY 11372

Telephone 7187798800

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Jackson Heights, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Jackson Heights, 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: 2024-09-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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

12 Associated Practitioners
NPI 1013279405
Diana Morales

Specialist

NPI 1023566049
Mayra Eusse

Case Manager/Care Coordinator

NPI 1033532908
Elsa Piedrahita

Case Manager/Care Coordinator

NPI 1043572621
Ana Arellano

Case Manager/Care Coordinator

NPI 1114289584
Karen Quintero

Case Manager/Care Coordinator

NPI 1154751808

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location September 25, 2024

Registered at 35-29 82ND STREET, JACKSON HEIGHTS, NY 11372 (Tel: 7187798800)

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Updated Business Mailing Address September 25, 2024

Registered at 35-29 82ND STREET, JACKSON HEIGHTS, NY 11372 (Tel: 7182051919)

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Provider Name / Credentials Updated September 25, 2024

Recorded as EMILY GAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Speech-Language Pathologist

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NPI Profile Deactivated September 03, 2024

Record deactivated on September 03, 2024

NPI Profile Active June 18, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 18, 2021

Registered at 7000 AUSTIN ST STE 200, FOREST HILLS, NY 113754739 (Tel: 7187627633)

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Updated Business Mailing Address June 18, 2021

Registered at 7000 AUSTIN ST STE 200, FOREST HILLS, NY 113754739 (Tel: 7187627633)

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Provider Name / Credentials Updated June 18, 2021

Recorded as EMILY GAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2021

Behavior Technician

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Initial NPI Registration & Enumeration June 18, 2021

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: 1689243248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2021
Last Update: September 25, 2024
Deactivation Date: September 03, 2024
Sole Proprietor: No

Mailing Address

35-29 82nd Street

Jackson Heights, NY 11372

Phone: 7182051919

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.