Krystle Antoinette Serrano

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

25 N Yew St
Glen Cove, NY 11542-1435

Phone

(631) 561-9952

NPI assigned

Sep 30, 2022

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

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.

• Long Island Speech and Feeding Therapy PC

  • Early Intervention Provider Agency
  • Levittown, NY
  • NPI 1578362174
  NPD Authorized official
• Long Island Speech and Feeding Therapy PC

  • Speech-Language Pathologist
  • Levittown, NY
  • NPI 1760246474
  NPD Authorized official
• Comprehensive Application Solutions, Inc.

  • Early Intervention Provider Agency
  • Greenvale, NY
  • NPI 1689330656
  NPD
• Little Angels Center, Inc

  • Speech-Language Pathologist
  • Medford, NY
  • NPI 1588719041
  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671840000000",
    "number": "1043934201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CONSTELLATION RD",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564308",
            "telephone_number": "347-656-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N YEW ST",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421435",
            "telephone_number": "631-561-9952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "KRYSTLE",
        "middle_name": "ANTOINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayal Segal, MD
• Chelsea Segarra
• Vicki Lynn Seidenberg, M.D.
• Senior Healthcare Associates, LLC
• Kimberly Serna, MD
• SG Senior Living, LLC
• Sunil Shah, MD
• Mohammed Hasan Shahid
• Lisa Nicole Shapiro, M.S. D.O
• Mohamed Anwerulla Sharieff, PHARM D

• All providers in Glen Cove, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.

Verify at the official NPI Registry.