NPIMap

Organization Active NPI

Gina SLP PC

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1184991762
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014734 Issued in NY
Legal business name
GINA SLP PC
Practice address
329 McBaine Ave
Staten Island, NY 10309-4271
Phone
(646) 824-6466
Fax
(718) 227-0368
NPI assigned
Nov 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Gina Vekselman, MS, CCC-SLPNPI 1689816449
Title
President
Phone
(646) 824-6466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 014734 NY Primary

Addresses

Primary practice location

329 McBaine Ave
Staten Island, NY 10309-4271

Mailing address

329 McBaine Ave
Staten Island, NY 10309-4271
Phone (646) 824-6466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1184991762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MCBAINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094271",
            "telephone_number": "646-824-6466",
            "fax_number": "718-227-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MCBAINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094271",
            "telephone_number": "646-824-6466",
            "fax_number": "718-227-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "VEKSELMAN",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-824-6466",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.