BLAKE ILYSA ROSE MS CCC SLP
NPI 1023258613
Speech-Language Pathologist in New York, NY

Q: What is Blake Rose's NPI number?

The NPI number for Blake Rose is 1023258613. It was assigned to this individual provider in the NPPES registry on February 23, 2009. The provider is also known as Blake Ilysa Small Ms Ccc Slp.

Q: What is Blake Rose's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Blake Rose was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 23, 2009

139 E 35TH ST, 5E, NEW YORK, NY 10016(516) 410-8452 Get Directions Write a Review

NPPES record last updated: February 23, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Blake Ilysa Rose Ms Ccc Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLAKE ILYSA ROSE MS CCC SLP (NPI 1023258613) is an individual speech-language pathologist provider in New York, New York, licensed in New York (015114) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1023258613

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameBLAKE ILYSA ROSECredential: MS CCC SLP

Location Address139 E 35TH ST, 5ENew York, NY 10016-4176

Mailing Address139 E 35th St, 5eNew York, NY 10016-4176 · (516) 410-8452

Phone(516) 410-8452

Sole ProprietorNo

Enumeration DateFebruary 23, 2009

✔ NPI 1023258613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NY · 015114

Definition

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.

139 E 35TH ST, New York, NY 10016

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Other Names 1

Former Name (1)Blake Ilysa Small Ms Ccc Slp

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRUCE HARVEY BERNSTEIN PH.D.

Psychologist (Clinical)

139 E 35TH ST, APT. 6G
NEW YORK, NY 10016

New York County (212) 679-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Rose's NPI number?

The NPI number for Blake Rose is 1023258613. It was assigned to this individual provider in the NPPES registry on February 23, 2009. The provider is also known as Blake Ilysa Small Ms Ccc Slp.

Where is Blake Rose located?

Blake Rose practices at 139 E 35th St 5E, New York, NY 10016. The listed phone number is (516) 410-8452.

What is Blake Rose's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Blake Rose was last updated on February 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.