Randee Ann Minzer, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

007163-1 Issued in NY

Practice address

145 Commack Rd
Commack, NY 11725-3438

Phone

(631) 499-5360

NPI assigned

Feb 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commack Speech & Language Disorders, PLLC

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1770727380
  NPD (past)
• Commack Speech and Language

  • Early Intervention Provider Agency
  • Islip, NY
  • NPI 1760792592
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003954678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 10TH AVE",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311722",
            "telephone_number": "631-651-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253438",
            "telephone_number": "631-499-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINZER",
        "first_name": "RANDEE",
        "middle_name": "ANN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniele Miltner, MS, OTR/L
• Mindful Mental Health Counseling Wellness PLLC
• Mindful Therapy LCSW, PLLC
• Roxanne Minerva
• Minimally Invasive Center of New York LLC
• Gina Marie Mitchell, M.S.
• Danielle Mitnick
• Jolanta Mogielnicka, RN
• Momentum Nutrition Ny PLLC
• Angela Monaco, DPT

• Speech-Language Pathologist in Commack, NY
• Providers in Commack, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.