Active NPI
Janet Vollmer Peters, MS,CCC,LSP
- Speech-Language Pathologist
- Massapequa, NY
National Provider Identifier
1316246457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002336-1
- Practice address
- 52 Gloucester Rd
Massapequa, NY 11758-8158 - Phone
- (516) 798-6362
- NPI assigned
- Mar 15, 2011
- Last updated
- Mar 15, 2011
- 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 | 002336-1 | NY | Primary |
Addresses
Primary practice location
52 Gloucester Rd
Massapequa, NY 11758-8158
Mailing address
52 Gloucester Rd
Massapequa, NY 11758-8158
Phone (516) 798-6362
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002336-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300147200000",
"number": "1316246457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 GLOUCESTER RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117588158",
"telephone_number": "516-798-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 GLOUCESTER RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117588158",
"telephone_number": "516-798-6362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLLMER PETERS",
"first_name": "JANET",
"credential": "MS,CCC,LSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-15",
"last_updated": "2011-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "002336-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.