Active NPI
Scott Albert Bruggemann, MS, CF-SLP
- Speech-Language Pathologist
- Staten Island, NY
National Provider Identifier
1215720925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 3391 Richmond Ave
Staten Island, NY 10312-2025 - Phone
- (718) 608-9170
- NPI assigned
- May 26, 2025
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
3391 Richmond Ave
Staten Island, NY 10312-2025
Mailing address
404 Preston Ave
Staten Island, NY 10312-6148
Phone (917) 678-4994
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748217600000",
"number": "1215720925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 PRESTON AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103126148",
"telephone_number": "917-678-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103122025",
"telephone_number": "718-608-9170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUGGEMANN",
"first_name": "SCOTT",
"middle_name": "ALBERT",
"credential": "MS, CF-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-26",
"last_updated": "2025-05-26",
"certification_date": "2025-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 May 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.