Active NPI
Ellen Beth Bianco, MS
- Speech-Language Pathologist
- Cold Spring Harbor, NY
National Provider Identifier
1083974976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2367
- Practice address
- 4 Pond Field CT
Cold Spring Harbor, NY 11724-1300 - Phone
- (631) 659-3284
- Fax
- (516) 627-8484
- NPI assigned
- May 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2367 | NY | Primary |
Addresses
Primary practice location
4 Pond Field CT
Cold Spring Harbor, NY 11724-1300
Mailing address
4 Pond Field CT
Cold Spring Harbor, NY 11724-1300
Phone (631) 659-3284
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2367 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1083974976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 POND FIELD CT",
"city": "COLD SPRING HARBOR",
"state": "NY",
"postal_code": "117241300",
"telephone_number": "631-659-3284",
"fax_number": "516-627-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 POND FIELD CT",
"city": "COLD SPRING HARBOR",
"state": "NY",
"postal_code": "117241300",
"telephone_number": "631-659-3284",
"fax_number": "516-627-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIANCO",
"first_name": "ELLEN BETH",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "2367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cold Spring Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.