Individual provider Active NPI

Jamie Giannino

  • Speech-Language Pathologist
  • Deer Park, NY
National Provider Identifier
1023485349
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
375 Commack Rd Ste 211
Deer Park, NY 11729-5515
Phone
(631) 509-2703
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

375 Commack Rd Ste 211
Deer Park, NY 11729-5515

Mailing address

1126 Reilly St
Bay Shore, NY 11706-2638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240301002913 DE Practitioner - Qualified Speech Language Pathologist 2466737382
I20250418001550 NY Practitioner - Qualified Speech Language Pathologist 2466737382 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Bright Therapy, SLP, PLLC Speech-Language Pathologist CurrentSince Mar 15, 2025 Accepting new patients
Bee Bright Therapy, SLP, PLLC Speech-Language Pathologist Past Accepting new patients

Locations

375 Commack Rd
Ste 211
Deer Park, NY 11729
Phone (631) 365-1504

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1023485349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 REILLY ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 COMMACK RD STE 211",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295515",
            "telephone_number": "631-509-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNINO",
        "first_name": "JAMIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.