Individual provider Active NPI

Genna Allison Froehlich, M.S CCC-SLP TSSLD

  • Speech-Language Pathologist
  • Oceanside, NY
National Provider Identifier
1336508126
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
025463-1 Issued in NY
Practice address
177 Murray Dr
Oceanside, NY 11572-5723
Phone
(516) 238-7305
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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 025463-1 NY Primary

Addresses

Primary practice location

177 Murray Dr
Oceanside, NY 11572-5723

Mailing address

177 Murray Dr
Oceanside, NY 11572-5723
Phone (516) 238-7305

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
025463-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1336508126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 MURRAY DR",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725723",
            "telephone_number": "516-238-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MURRAY DR",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725723",
            "telephone_number": "516-238-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROEHLICH",
        "first_name": "GENNA",
        "middle_name": "ALLISON",
        "name_prefix": "Ms.",
        "credential": "M.S CCC-SLP TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025463-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.