Georgia Pantelatos, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030577 Issued in NY

Practice address

222 W 134TH St
New York, NY 10030-3002

Phone

(212) 690-5915

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1245818905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17118 BAGLEY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583824",
            "telephone_number": "347-461-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 134TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100303002",
            "telephone_number": "212-690-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANTELATOS",
        "first_name": "GEORGIA",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel Pantaleon, LPN
• Richard Pantaleoni, LCSW
• Holly Jane Pantalone, FNP
• Hira Marie Gamale Pantanosas, NP
• Chrissa Pantazis, PA-C
• Nicholas Michael Pantelides, LMSW
• Neelima Panth
• Khemenec Pantin
• Brittany Pantofel
• Rachael Ann Pantoja Mejias, ARNP

• Speech-Language Pathologist in New York, NY
• Providers in New York, 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 Apr 1, 2021; 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.