Mimi Laura Juliano, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010776-1 Issued in NY

Practice address

475 Main St
Suite 1 D
Farmingdale, NY 11735-3570

Phone

(516) 420-1780

Fax

(516) 420-1780

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visiting Nurse Service and Hospice of Suffolk Inc.Group PAC ID 5294646436, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Visiting Nurse Service and Hospice of Suffolk Inc

  • Home Health Agency
  • Northport, NY
  • NPI 1225272511
  Medicare reassignment Care Compare group NPD
• Visiting Nurse Service and Hospice of Suffolk Inc.

  • Community Based Hospice Care Agency
  • Northport, NY
  • NPI 1184652018
  NPD

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1174773436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MAIN ST",
            "address_2": "SUITE 1 D",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353570",
            "telephone_number": "516-420-1780",
            "fax_number": "516-420-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MAIN ST",
            "address_2": "SUITE 1 D",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353570",
            "telephone_number": "516-420-1780",
            "fax_number": "516-420-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIANO",
        "first_name": "MIMI",
        "middle_name": "LAURA",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010776-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy B Jones
• Danielle M Joseph-McKay, LCCE
• Roger Joseph
• Jr Car Service TLC, Inc.
• Amy Megan Juarez-Portillo, PTA
• Michelle Kabatsky
• Donald Michael Kahn, D.D.S.
• Karen A Kahn, RPH
• Donna Kaires, MA, CCC-SLP
• Ginamarie Kallansrude

• Speech-Language Pathologist in Farmingdale, NY
• Providers in Farmingdale, 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 Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.