Patricia Diane Wojcicki

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009988-1 Issued in NY

Practice address

372 Ridge Rd
Broadalbin, NY 12025-2067

Phone

(518) 883-4776

NPI assigned

Feb 22, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2009.

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1346480969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 RIDGE RD",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252067",
            "telephone_number": "518-883-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 RIDGE RD",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252067",
            "telephone_number": "518-883-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCICKI",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Sargalis, MPT
• Arissa Marilyn Spitalny, LMSW
• Robert S Szymczak, DDS
• Thomas Venditti, RPA-C
• Kathleen Verbicky, D.O.

• All providers in Broadalbin, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2009; 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.