Individual provider Active NPI

Melanie R Yovino, MA CCC-SLP

  • Speech-Language Pathologist
  • Shirley, NY
National Provider Identifier
1326535600
Registry record updated Apr 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027209 Issued in NY
Practice address
111 Lexington Rd
Shirley, NY 11967-2803
Phone
(631) 874-1257
NPI assigned
Apr 22, 2018
Last updated
Apr 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2018

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 027209 NY Primary

Addresses

Primary practice location

111 Lexington Rd
Shirley, NY 11967-2803

Mailing address

68 Hidden Pheasant Path
Wading River, NY 11792-2161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320001932 NY Practitioner - Qualified Speech Language Pathologist 1456835198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Hofstra North Shore - Lij School of Medicine, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4820 W Taft Rd
Suite 202
Liverpool, NY 13088-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
027209NYMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1524355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524355200000",
    "number": "1326535600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HIDDEN PHEASANT PATH",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LEXINGTON RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119672803",
            "telephone_number": "631-874-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOVINO",
        "first_name": "MELANIE",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-22",
        "last_updated": "2018-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.