Melissa Anne Terpko M.S.,CCC,SLP,P.C

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

018032 Issued in NY

Legal business name

MELISSA ANNE TERPKO M.S.,CCC,SLP,P.C

Practice address

1425 N Monroe Ave
West Islip, NY 11795-1914

Phone

(631) 807-5109

NPI assigned

Jan 15, 2016

Last updated

Jan 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Anne Terpko, MS CCC SLONPI 1962657155

Title

President

Phone

(631) 807-5109

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Anne Terpko, M.S. CCC-SLP P.C

  • Speech-Language Pathologist
  • West Islip, NY
  • NPI 1962657155

  Early Intervention Provider Agency

  NPD (past) Authorized official

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1336506799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MONROE AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MONROE AVE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951914",
            "telephone_number": "631-807-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ANNE TERPKO M.S.,CCC,SLP,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "TERPKO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-807-5109",
        "authorized_official_credential": "MS CCC SLO"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "018032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in West Islip, NY
• Providers in West Islip, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.