Individual provider Active NPI

Danielle Novielli, CF-SLP

  • Speech-Language Pathologist
  • Westbury, NY
National Provider Identifier
1346733375
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
P10651 Issued in NY
Practice address
1400 Old Country Rd
Westbury, NY 11590-5156
Phone
(516) 627-3036
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X P10651 NY Primary

Addresses

Primary practice location

1400 Old Country Rd
Westbury, NY 11590-5156

Mailing address

1400 Old Country Rd
Westbury, NY 11590-5156
Phone (516) 627-3036

Other practice location 1

585 Stewart Ave Ste 310
Garden City, NY 11530-4701
Phone (516) 627-3036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122003799 NY Practitioner - Qualified Speech Language Pathologist 0547795841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028595NYMDGeneral Practice Dentistry
P10651NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Therapeutics PT & OT PLLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Propel Physical Therapy PC PastSince Nov 1, 2024 Accepting new patients
North Shore Center for Speech, Language & Swallowing Disorders LLP Single Specialty Past Accepting new patients
North Shore Center for Speech, Language & Swallowing Disorders Speech-Language Pathologist Past Accepting new patients

Locations

1150 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 352-4252

1 Huntington Quadrangle
Ste 1S07
Melville, NY 11747
Phone (516) 222-2010

Organizations & group practices 4

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1346733375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905156",
            "telephone_number": "516-627-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905156",
            "telephone_number": "516-627-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Stewart Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304701",
            "country_code": "US",
            "telephone_number": "516-627-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVIELLI",
        "first_name": "DANIELLE",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "P10651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.