Ilene Nicole Grobman, M.S.,CCC/SLP,TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013159 Issued in NY

Practice address

24 Wilmington Dr
Melville, NY 11747-4026

Phone

(516) 521-5579

NPI assigned

Sep 6, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1184171373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WILMINGTON DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474026",
            "telephone_number": "516-521-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WILMINGTON DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474026",
            "telephone_number": "516-521-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBMAN",
        "first_name": "ILENE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC/SLP,TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valencia Griffin
• Kyla-Marie Terese Darien Griffith
• Domane Adriana Griffiths
• Dawnmarie Grisafi
• Craig R Grobman, D.O.
• Christy Teres Groves
• Keiry B Guardado-Giron
• Daniela Guaricela
• Taylor Guarneri
• Danielle Guerra, LCSW

• Speech-Language Pathologist in Melville, NY
• Providers in Melville, 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 6, 2016; 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.