SHATA BOSE CCC-SLP
NPI 1184512931
Speech-Language Pathologist in Bronx, NY

Q: What is Shata Bose's NPI number?

The NPI number for Shata Bose is 1184512931. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Q: What is Shata Bose'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 Shata Bose was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 27, 2025

2120 RANDALL AVE APT 9F, BRONX, NY 10473(917) 940-0756 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shata Bose Ccc-slp NPPES

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

SHATA BOSE CCC-SLP (NPI 1184512931) is an individual speech-language pathologist provider in Bronx, New York, licensed in New York (034895-01) and active in the NPI registry since June 2025. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1184512931

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHATA BOSECredential: CCC-SLP

Location Address2120 RANDALL AVE APT 9FBronx, NY 10473-1736

Mailing Address2120 Randall Ave Apt 9fBronx, NY 10473-1736 · (917) 940-0756

Phone(917) 940-0756

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJune 27, 2025

NPPES CertifiedJune 27, 2025

✔ NPI 1184512931 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 · 034895-01

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.

2120 RANDALL AVE APT 9F, Bronx, NY 10473

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shata Bose Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375047665

PECOS Enrollment IDI20250918004419

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 Shata Bose's NPI number?

The NPI number for Shata Bose is 1184512931. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Shata Bose located?

Shata Bose practices at 2120 Randall Ave Apt 9F, Bronx, NY 10473. The listed phone number is (917) 940-0756.

What is Shata Bose's specialty?

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

Is Shata Bose enrolled in Medicare?

Yes. Shata Bose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shata Bose was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.