Active NPI
Joann Cavaseno Ruckel, SLP
- Speech-Language Pathologist
- Miller Place, NY
National Provider Identifier
1205971926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 010051-1
- Practice address
- 250 Oakland Ave
Miller Place, NY 11764-3507 - Phone
- (631) 744-7327
- Fax
- (631) 209-0857
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 010051-1 | NY | Primary |
Addresses
Primary practice location
250 Oakland Ave
Miller Place, NY 11764-3507
Mailing address
250 Oakland Ave
Miller Place, NY 11764-3507
Phone (631) 744-7327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010051-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205971926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 OAKLAND AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643507",
"telephone_number": "631-744-7327",
"fax_number": "631-209-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 OAKLAND AVE",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117643507",
"telephone_number": "631-744-7327",
"fax_number": "631-209-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKEL",
"first_name": "JOANN",
"middle_name": "CAVASENO",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "010051-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.