Active NPI
Nancy J. Barragato, MS, CCC-SLP
- Speech-Language Pathologist
- Bay Shore, NY
National Provider Identifier
1003958158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010698
- Practice address
- 795 Wisconsin Ave
Bay Shore, NY 11706-2336 - Phone
- (631) 434-2255
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010698 | NY | Primary |
Addresses
Primary practice location
795 Wisconsin Ave
Bay Shore, NY 11706-2336
Mailing address
126 Windward Dr
Port Jefferson, NY 11777-2328
Phone (631) 495-5760
Other practice location 1
185 New York Ave
Smithtown, NY 11787-3416
Phone (631) 979-5130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010698 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1003958158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 WINDWARD DR",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772328",
"telephone_number": "631-495-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 WISCONSIN AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117062336",
"telephone_number": "631-434-2255"
}
],
"practiceLocations": [
{
"address_1": "185 New York Ave",
"address_purpose": "LOCATION",
"city": "Smithtown",
"state": "NY",
"postal_code": "117873416",
"country_code": "US",
"telephone_number": "631-979-5130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRAGATO",
"first_name": "NANCY",
"middle_name": "J.",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2022-12-09",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "010698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.