Gabriella Dee Amaya, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01148400 Issued in NJ

Practice address

2460 Lemoine Ave
Fort Lee, NJ 07024-6231

Phone

(201) 500-9657

Fax

(201) 419-6114

NPI assigned

Apr 12, 2019

Reactivated

Oct 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Gabriella Dee Amaya Other name

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehabilitation Physical Therapy Services LLC

  • Physical Therapist
  • New York, NY
  • NPI 1174560650

  Speech-Language Pathologist

  Medicare reassignment NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ, Speech-Language Pathologist

  Medicare reassignment NPD
• Amaya SLP PC

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1336002310
  NPD Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1184187346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246231",
            "telephone_number": "201-500-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246231",
            "telephone_number": "201-500-9657",
            "fax_number": "201-419-6114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Broadhollow Rd",
            "address_purpose": "LOCATION",
            "city": "Melville",
            "state": "NY",
            "postal_code": "11747",
            "country_code": "US",
            "telephone_number": "631-385-7780",
            "fax_number": "631-385-7795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMAYA",
        "first_name": "GABRIELLA",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-02-02",
        "certification_date": "2022-10-19",
        "deactivation_date": "2022-09-29",
        "reactivation_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "41YS01148400",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01148400",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "AMAYA",
            "middle_name": "DEE",
            "prefix": "MS.",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allergy Alliance Group LLC
• Alliance Medical Surgical Group, LLC
• Ally Physical Therapy,LLC
• Lawrence Altman, D.C.
• Amanda G Alvarez, M.S. CCC-SLP
• Luz Maria Amigo, M.A., CCC-SLP
• Patience Ampofo
• Emile Amzallag, D.D.S.
• NA Hea An, M.S., CCC-SLP
• Sanghyop An, PT, DPT

• Speech-Language Pathologist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.