Sharlyn Melyssa Rodriguez, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

032175-01 Issued in NY

Practice address

11956 7TH Ave
College Point, NY 11356-1006

Phone

(347) 841-4290

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Coast Rehabilitation Inc

  • Clinic/Center
  • Bronx, NY
  • NPI 1477570315

  Single Specialty

  NPD

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245930478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 7TH AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561006",
            "telephone_number": "347-841-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11956 7TH AVE",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561006",
            "telephone_number": "347-841-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "SHARLYN",
        "middle_name": "MELYSSA",
        "credential": "CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032175-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Richter, PH.D. PSYCHOLOGY
• Ridgewood Dialysis Center, Inc.
• Rachelle Rivere
• Rachel Roberts, OTR/L
• Olga A Rodriguez, FNP-BC
• Dorothea Rogers, RPH
• Amanda Romhen, PHARM.D.
• Olga Lucia Rosario
• Randolph Rosarion, M.D.
• Alejandro F Rosarito Jr., OTR

• Speech-Language Pathologist in College Point, NY
• Providers in College Point, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.