John Henry Pecoraro Jr., SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013023 Issued in NY

Practice address

80 Willowbrook CT
Staten Island, NY 10302-2402

Phone

(917) 405-5694

NPI assigned

Jan 26, 2022

Last updated

Jan 26, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1275285611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 OAKLAND MILLS RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268600",
            "telephone_number": "917-405-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WILLOWBROOK CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022402",
            "telephone_number": "917-405-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_suffix": "Jr.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilbert Joshua Medrano Pecho
• Jane Peck
• Ronald Peck
• Gledi Peco, DPM
• Georgina Lolly Pecoraro, M.A., CCC-SLP
• Pectus Services of Ny LLC
• Pediatric Care of New York P.C.
• Pediatric Eyewear of Staten Island (Pediatric Eyewear)
• Pediatric Occupational Therapy Associates (Programs for Special Children)
• Pediatrics of Richmomd County PLLC

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Jan 26, 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.