Active NPI
Aileen O'Connell
- Speech-Language Pathologist
- Westbury, NY
National Provider Identifier
1093452310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1400 Old Country Rd Ste 308
Westbury, NY 11590-5119 - Phone
- (516) 627-3036
- NPI assigned
- May 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1400 Old Country Rd Ste 308
Westbury, NY 11590-5119
Mailing address
11 Ellen St
Bethpage, NY 11714-2909
Phone (516) 384-7252
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033063 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Physical Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Ny Speech Pathology Consultants, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| North Shore Center for Speech, Language & Swallowing Disorders LLP | Past | Accepting new patients | |
| North Shore Center for Speech, Language & Swallowing Disorders | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1415 Richmond Ave
Staten Island, NY 10314
Phone (212) 475-5540
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.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Locust Valley, NY
- NPI 1285976324
-
- Speech-Language Pathologist
- Garden City, NY
- NPI 1023476090
-
- Early Intervention Provider Agency
- Garden City, NY
- NPI 1457595472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1093452310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ELLEN ST",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117142909",
"telephone_number": "516-384-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 OLD COUNTRY RD STE 308",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905119",
"telephone_number": "516-627-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "AILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.