Active NPI
Caterina Anne Pastore, M.A.CCC/SLP
- Speech-Language Pathologist
- Baldwinsville, NY
National Provider Identifier
1124351762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005724-1
- Practice address
- 2515 Country LN
Baldwinsville, NY 13027-9606 - Phone
- (315) 635-2936
- NPI assigned
- Sep 15, 2009
- 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 | 005724-1 | NY | Primary |
Addresses
Primary practice location
2515 Country LN
Baldwinsville, NY 13027-9606
Mailing address
2515 Country LN
Baldwinsville, NY 13027-9606
Phone (315) 635-2936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005724-1 | Other | NY | SPEECH-LANGUAGE PATHOLOGIST |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005724-1 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1124351762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 COUNTRY LN",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279606",
"telephone_number": "315-635-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 COUNTRY LN",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130279606",
"telephone_number": "315-635-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORE",
"first_name": "CATERINA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "M.A.CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-15",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "005724-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGIST",
"identifier": "005724-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.