Individual provider Active NPI

Regina Rello, CCC-SLP TSSLD

  • Speech-Language Pathologist
  • Lindenhurst, NY
National Provider Identifier
1326877937
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
033092-01 Issued in NY
Practice address
714 S 8TH St
Lindenhurst, NY 11757-5521
Phone
(631) 624-6755
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 033092-01 NY Primary

Addresses

Primary practice location

714 S 8TH St
Lindenhurst, NY 11757-5521

Mailing address

18 Glow LN
Hicksville, NY 11801-6105
Phone (516) 503-5151

Other names 1

  • Miss Regina Rello Professional name

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

LicenseStateTypeSpecialty
033092-01NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Your Legacy Inc. Speech-Language Pathologist CurrentSince Aug 4, 2024 Accepting new patients
Speak Your Legacy Inc. CurrentSince Aug 4, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1326877937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GLOW LN",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016105",
            "telephone_number": "516-503-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S 8TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117575521",
            "telephone_number": "631-624-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLO",
        "first_name": "REGINA",
        "name_prefix": "Miss",
        "credential": "CCC-SLP TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "033092-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "RELLO",
            "prefix": "MISS",
            "credential": "CCC-SLP-TSSLD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.