NPIMap

Organization Active NPI

Diana Vollaro SLP LLC

  • Hearing and Speech Clinic/Center
  • Medford, NY
National Provider Identifier
1174838031
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
016959-1 Issued in NY
Legal business name
DIANA VOLLARO SLP LLC
Practice address
3251 Route 112
BLDG. 9, Suite 3
Medford, NY 11763-1446
Phone
(631) 732-4794
Fax
(631) 732-0355
NPI assigned
Aug 16, 2010
Last updated
Aug 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Diana Vollaro
Title
Speech-Language Pathologist
Phone
(516) 984-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 016959-1 NY Primary

Addresses

Primary practice location

3251 Route 112
BLDG. 9, Suite 3
Medford, NY 11763-1446

Mailing address

3251 Route 112
BLDG. 9, Suite 3
Medford, NY 11763-1446
Phone (631) 732-4794

National Provider Directory

National Provider Directory

Locations

3251 Route 112
Ste 3
Medford, NY 11763
Phone (631) 732-4794

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1174838031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 ROUTE 112",
            "address_2": "BLDG. 9, SUITE 3",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631446",
            "telephone_number": "631-732-4794",
            "fax_number": "631-732-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 ROUTE 112",
            "address_2": "BLDG. 9, SUITE 3",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631446",
            "telephone_number": "631-732-4794",
            "fax_number": "631-732-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA VOLLARO SLP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "VOLLARO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-984-2863"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "016959-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.