Individual provider Active NPI

Angelica Maria Stano, M.A., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Bethpage, NY
National Provider Identifier
1083179873
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
96 Floral Ave
Bethpage, NY 11714-1216
Phone
(516) 643-8057
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 Primary

Addresses

Primary practice location

96 Floral Ave
Bethpage, NY 11714-1216

Mailing address

96 Floral Ave
Bethpage, NY 11714-1216
Phone (516) 643-8057

Other practice location 1

1 Donahue Ave
Inwood, NY 11096-1215
Phone (516) 295-6200 ext. 6241

Other practice location 2

1196 Prospect Ave
Westbury, NY 11590-2700
Phone (516) 622-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1083179873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 FLORAL AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141216",
            "telephone_number": "516-643-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 FLORAL AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141216",
            "telephone_number": "516-643-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Donahue Ave",
            "address_purpose": "LOCATION",
            "city": "Inwood",
            "state": "NY",
            "postal_code": "110961215",
            "country_code": "US",
            "telephone_number": "516-295-6200 x6241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1196 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115902700",
            "country_code": "US",
            "telephone_number": "516-622-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANO",
        "first_name": "ANGELICA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "M.A., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.