Allison Ann Dibenedetto, Ma, Speech-Language Pathology, PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013035-1 Issued in NY

Legal business name

ALLISON ANN DIBENEDETTO, MA, SPEECH-LANGUAGE PATHOLOGY, PC

Practice address

14632 Willets Point Blvd
Whitestone, NY 11357-3543

Phone

(516) 263-8797

NPI assigned

Feb 25, 2007

Organization subpart

No

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

Authorized official

Name

Allison Ann Dibenedetto, MA, CCC-SLP TSHHNPI 1255694006

Title

President

Phone

(516) 263-8797

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allison Ann Dibenedetto, MA, CCC-SLP TSHH

  • Speech-Language Pathologist
  • Brookville, NY
  • NPI 1255694006
  NPD (past) Authorized official

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053447128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14632 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573543",
            "telephone_number": "516-263-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14632 WILLETS POINT BLVD",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573543",
            "telephone_number": "516-263-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLISON ANN DIBENEDETTO, MA, SPEECH-LANGUAGE PATHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIBENEDETTO",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-263-8797",
        "authorized_official_credential": "MA, CCC-SLP TSHH"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013035-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.