Danielle Johnson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

30 Elm St
Massapequa, NY 11758-5701

Phone

(516) 710-4580

NPI assigned

Sep 4, 2018

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

• Danielle Leitman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1225510597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ELM ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585701",
            "telephone_number": "516-710-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELM ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585701",
            "telephone_number": "516-710-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068505",
            "country_code": "US",
            "telephone_number": "516-710-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2022-11-09",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000066125",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "LEITMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey D. Hart DO PC (Hart Orthopedics)
• Abigail Jimenez, MSN, RN
• John a. Facchin, O.D.
• John Bianchini PT PC
• Michelle Taunette Johnson-Ruiz, RN
• Gloria Maria Johnson, NP
• Nakia Shevette Johnson, LMT
• Porsha Johnson
• Mary Lou Jones, LCSW
• Jorge L. Gardyn, M.D., F.a.C.P., P.C.

• Speech-Language Pathologist in Massapequa, NY
• Providers in Massapequa, 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 Nov 9, 2022; 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.