Individual provider Active NPI

Susan Valentino, M.S.;C.C.C.

  • Speech-Language Pathologist
  • Quogue, NY
National Provider Identifier
1285093427
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0005288-1 Issued in NY
Practice address
1 Morrissey Lane
Quogue, NY 11959-0715
Phone
(631) 653-8411
NPI assigned
Feb 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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 0005288-1 NY Primary

Addresses

Primary practice location

1 Morrissey Lane
Quogue, NY 11959-0715

Mailing address

P.O.B. 715
1 Morrissey Lane
Quogue, NY 11959-0715
Phone (631) 653-8411

Other names 1

  • Ms. Susan Rowe-Valentino Former name

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

State licenses

LicenseStateTypeSpecialty
0005288-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1285093427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.B. 715",
            "address_2": "1 MORRISSEY LANE",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119590715",
            "telephone_number": "631-653-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MORRISSEY LANE",
            "city": "QUOGUE",
            "state": "NY",
            "postal_code": "119590715",
            "telephone_number": "631-653-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "M.S.;C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0005288-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ROWE-VALENTINO",
            "prefix": "MS.",
            "credential": "M.S.;C.C.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.