SIVAN NISSANOV
NPI 1164395653
Speech-Language Pathologist in Flushing, NY

Active since September 29, 2025
7102 113TH ST, FLUSHING, NY 11375(718) 268-2667 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sivan Nissanov NPPES

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

SIVAN NISSANOV (NPI 1164395653) is an individual speech-language pathologist provider in Flushing, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1164395653
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSIVAN NISSANOV
Location Address7102 113TH STFlushing, NY 11375-4654
Mailing Address14422 77th AveFlushing, NY 11367-3130
Sole ProprietorNo
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
NPI 1164395653 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
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.
7102 113TH ST, Flushing, NY 11375

Other Providers at the Same Location NPPES

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

Occupational Therapist
7102 113TH ST
FLUSHING, NY 11375

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 Sivan Nissanov's NPI number?

The NPI number for Sivan Nissanov is 1164395653. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Sivan Nissanov located?

Sivan Nissanov practices at 7102 113th St, Flushing, NY 11375. The listed phone number is (718) 268-2667.

What is Sivan Nissanov'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 Sivan Nissanov was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.