Active NPI
Nicole Basile, SLP
- Speech-Language Pathologist
- Baldwin, NY
National Provider Identifier
1326317405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011102-1
- Practice address
- 960 Hastings Street
Baldwin, NY 11510 - Phone
- (516) 434-6000
- Fax
- (516) 494-6803
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 011102-1 | NY | Primary |
Addresses
Primary practice location
960 Hastings Street
Baldwin, NY 11510
Mailing address
155 Old Willets Path
Smithtown, NY 11787
Phone (516) 851-7022
Other names 1
- Nicole Larocco
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011102-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1326317405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 OLD WILLETS PATH",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "11787",
"telephone_number": "516-851-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 HASTINGS STREET",
"city": "BALDWIN",
"state": "NY",
"postal_code": "11510",
"telephone_number": "516-434-6000",
"fax_number": "516-494-6803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASILE",
"first_name": "NICOLE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011102-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "LAROCCO",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.