Lisa Green, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0090661 Issued in NY

Practice address

201 I U Willets Rd
Albertson, NY 11507-1516

Phone

(516) 739-4900

Fax

(516) 739-4909

NPI assigned

Apr 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Charles Hospital and Rehabilitation Center

  • Rehabilitation Hospital
  • Albertson, NY
  • NPI 1659492106
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326265208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11465 224TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111225",
            "telephone_number": "718-978-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 I U WILLETS RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071516",
            "telephone_number": "516-739-4900",
            "fax_number": "516-739-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LISA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0090661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00274415",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayla Nicole Gioia
• Margaret Gioia, MA, OTR/L
• GMG Dental PLLC (Gitlin Dental Group Roslyn)
• Alice Gnazzo Azzara
• Sotiri Goring
• Alexander Greger, RN
• Paula Groothuis
• Joseph Robert Gross, D.C.
• Sharon Gucker
• Maria Trizzino Haig, MD

• Speech-Language Pathologist in Albertson, NY
• Providers in Albertson, 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 Jul 8, 2007; 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.