Active NPI
Kristin Rae Princiotta
- Speech-Language Pathologist
- Garden City, NY
National Provider Identifier
1114445418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 500 Endo Blvd
Garden City, NY 11530-4899 - Phone
- (516) 876-5047
- NPI assigned
- Sep 7, 2017
- Last updated
- Sep 7, 2017
- 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
500 Endo Blvd
Garden City, NY 11530-4899
Mailing address
2 Derri CT
Dix Hills, NY 11746-5873
Phone (631) 219-6653
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504742400000",
"number": "1114445418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DERRI CT",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465873",
"telephone_number": "631-219-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ENDO BLVD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304899",
"telephone_number": "516-876-5047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCIOTTA",
"first_name": "KRISTIN",
"middle_name": "RAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-07",
"last_updated": "2017-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
- Wayne Thomas Prigoff, DDS
- Prime Elite Inc
- Prime Fitness and Wellness Inc
- Prime Health Medical PC
- Prime Medical Transportation LLC (Prime Ambulette)
- Pro Nutrition Counseling PLLC
- Professional Care Management LLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy PC
- Profile Physical Therapy & Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.