Individual provider Active NPI

Christina Daniele Riolo

  • Speech-Language Pathologist
  • Babylon, NY
National Provider Identifier
1073244257
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
400 Montauk Hwy Ste 152
Babylon, NY 11702-3009
Phone
(631) 669-7098
Fax
(631) 669-3736
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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 NY Primary

Addresses

Primary practice location

400 Montauk Hwy Ste 152
Babylon, NY 11702-3009

Mailing address

24 Nottinghill Dr
North Massapequa, NY 11758-3238
Phone (516) 417-2074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914001390 NY Practitioner - Qualified Speech Language Pathologist 4082078613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Island Select Healthcare, IncGroup PAC ID 5991086225, 29 clinicians

Practice addresses (Care Compare)

159 Carleton Ave
Central Islip, NY 11722-4172
Phone (631) 650-2510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033142NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Speech Language and Swallowing Disorders PLLC Speech-Language Pathologist CurrentSince Jun 26, 2022 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Aug 1, 2023 Accepting new patients
South Shore Center for Speech, Language and Swallowing Disorders, LLP PastSince Jun 26, 2022 Accepting new patients

Locations

400 W Montauk Hwy
Ste 152
Babylon, NY 11702
Phone (631) 669-7098

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

250 Marcus Blvd
Hauppauge, NY 11788
Phone (631) 439-4300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 4

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": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1073244257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 NOTTINGHILL DR",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583238",
            "telephone_number": "516-417-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY STE 152",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-669-7098",
            "fax_number": "631-669-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOLO",
        "first_name": "CHRISTINA",
        "middle_name": "DANIELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.