Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Davina Mathura, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093244360

MS. Davina Mathura, MSCCC-SLP is a Qualified Speech Language Pathologist in Bronx, New York. Qualified in 2021, 5 years ago. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

2578 Miles Ave # 1
Bronx, NY 10465-2606
Phone: (917) 770-5959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 035455 (NY)

Record details

NPI number1093244360
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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