Individual provider Active NPI

Toni Rae Marie Gnall, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1245675842
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022501-1 Issued in NY
Practice address
75 Skyline Dr
Staten Island, NY 10304-4832
Phone
(718) 727-8202
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 022501-1 NY Primary

Addresses

Primary practice location

75 Skyline Dr
Staten Island, NY 10304-4832

Mailing address

34 Clinton PL
Staten Island, NY 10302-2101
Phone (917) 217-1885

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 Arts

State licenses

LicenseStateTypeSpecialty
022501-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1245675842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CLINTON PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022101",
            "telephone_number": "917-217-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SKYLINE DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044832",
            "telephone_number": "718-727-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNALL",
        "first_name": "TONI RAE",
        "middle_name": "MARIE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022501-1",
            "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 8, 2013; 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.