Individual provider Active NPI

Josephine Oleaga-Labriola, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1154624294
Registry record updated Dec 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003309-1 Issued in NY
Practice address
105 Clover Dr
Pupil Personnel Services-Great Neck Public Schools
Great Neck, NY 11021-1031
Phone
(516) 441-4970
Fax
(516) 441-4270
NPI assigned
Dec 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003309-1 NY Primary

Addresses

Primary practice location

105 Clover Dr
Pupil Personnel Services-Great Neck Public Schools
Great Neck, NY 11021-1031

Mailing address

4729 190TH St
Flushing, NY 11358-3830
Phone (718) 357-9614

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 Arts

State licenses

LicenseStateTypeSpecialty
003309-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1292112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292112000000",
    "number": "1154624294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 190TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583830",
            "telephone_number": "718-357-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLOVER DR",
            "address_2": "PUPIL PERSONNEL SERVICES-GREAT NECK PUBLIC SCHOOLS",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211031",
            "telephone_number": "516-441-4970",
            "fax_number": "516-441-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEAGA-LABRIOLA",
        "first_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-12",
        "last_updated": "2010-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003309-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2010; 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.