Speech and Language Therapy Associates of Staten Island PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0116221 Issued in NY

Legal business name

SPEECH AND LANGUAGE THERAPY ASSOCIATES OF STATEN ISLAND PLLC

Practice address

91 New Dorp Lane
Staten Island, NY 10306

Phone

(718) 351-6604

Fax

(718) 351-2987

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Jiannetto, MA CCCSLP

Title

Director

Phone

(718) 351-6604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104945484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 NEW DORP LANE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NEW DORP LANE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10306",
            "telephone_number": "718-351-6604",
            "fax_number": "718-351-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE THERAPY ASSOCIATES OF STATEN ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JIANNETTO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-351-6604",
        "authorized_official_credential": "MA CCCSLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0116221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specs for Less
• Specs for Less Inc.
• Specs for Less of Richmond Ave Inc
• Spectrum Steps
• Spectrum Steps Applied Behavior Analysis, PLLC
• Speech Bubble Bus Therapy PLLC
• Speech Pathology Therapy (Logoped), Inc.
• Speech Wellness, PLLC
• Speechbyyelena Inc.
• Kate Spektor, AUD, CCC-A

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• 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.