Jeanine A Ceccoli

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012563-1 Issued in NY

Practice address

10 Cherry Ave
Bethpage, NY 11714-1501

Phone

(516) 644-4020

NPI assigned

Nov 7, 2011

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

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 and National Provider Directory roles.

• Bethpage Union Free School District

  • Local Education Agency (LEA)
  • Bethpage, NY
  • NPI 1528110418
  NPD (past)

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320624000000",
    "number": "1043597933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 GLEN COVE AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141631",
            "telephone_number": "516-997-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHERRY AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141501",
            "telephone_number": "516-644-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCOLI",
        "first_name": "JEANINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012563-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Carrillo, LMSW
• Giuseppe Caruso, MD
• Marisa Anne Casella, LCSW
• Roseann Lena Catalano, PHARMD
• John A Cavagnaro, PA-C
• Vikram Chabra, D.O.
• Princejeet Singh Chahal
• Jordan Marie Chaloupka, RN
• Rebecca Chan Min, OD
• Andrew Chan, MD

• Speech-Language Pathologist in Bethpage, NY
• Providers in Bethpage, 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 Nov 7, 2011; 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.