Active NPI
Lisa Angela Velella, MA., CCC-SLP
- Speech-Language Pathologist
- Valhalla, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09226-1
- Practice address
- 30 Plaza W
Vosburgh Pavilion
Valhalla, NY 10595-1572 - Phone
- (914) 594-4912
- Fax
- (914) 594-4853
- NPI assigned
- May 16, 2007
- Last updated
- May 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09226-1 | NY | Primary |
Addresses
Primary practice location
30 Plaza W
Vosburgh Pavilion
Valhalla, NY 10595-1572
Mailing address
22 Saw Mill River Road-2ND Floor
Hawthorne, NY 10532-1533
Phone (888) 633-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09226-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Children's Health Physicians, LLP | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients |
Locations
22 Saw Mill River Rd
Ste 2
Hawthorne, NY 10532
Phone (914) 593-1606
40 Saw Mill River Rd
Hawthorne, NY 10532
Phone (914) 345-8888
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
30 Plaza W
Valhalla, NY 10595
Phone (914) 594-4912
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1316154099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SAW MILL RIVER ROAD-2ND FLOOR",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321533",
"telephone_number": "888-633-0033",
"fax_number": "914-593-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PLAZA W",
"address_2": "VOSBURGH PAVILION",
"city": "VALHALLA",
"state": "NY",
"postal_code": "105951572",
"telephone_number": "914-594-4912",
"fax_number": "914-594-4853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELELLA",
"first_name": "LISA",
"middle_name": "ANGELA",
"name_prefix": "Mrs.",
"credential": "MA., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "09226-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valhalla, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.