Vanessa Shaw

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

148 Marilynn St
East Islip, NY 11730-3304

Phone

(516) 270-5500

NPI assigned

Dec 2, 2021

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)

Not enrolled

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1033877444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MARILYNN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MARILYNN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303304",
            "telephone_number": "516-270-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernhard JD Sengstock III
• Isaiah Serrano
• Michael David Setton, DO
• Nicole Sewell, M.A., LMHC
• Madeline Sharon Shakin, D.D.S.
• Jeffrey A Sherman, DDS
• Kara Stephanie Sieklucki, M.S. EDUCATION
• Emily Silver, LMHC
• Stephen John Simonetti, D.D.S.
• Dolesha Sinanan

• Speech-Language Pathologist in East Islip, NY
• Providers in East Islip, 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 Dec 2, 2021; 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.