Lissette Kaleena Vizcarrondo, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030804 Issued in NY

Practice address

22 French St
Locust Valley, NY 11560-2319

Phone

(516) 355-6001

NPI assigned

Feb 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ny Speech Pathology Consultants PCGroup PAC ID 7618111634, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ny Speech Pathology Consultants, P.C.

  • Speech-Language Pathologist
  • Locust Valley, NY
  • NPI 1285976324
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1366141673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WALLACE AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102155",
            "telephone_number": "347-387-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FRENCH ST",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602319",
            "telephone_number": "516-355-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARRONDO",
        "first_name": "LISSETTE",
        "middle_name": "KALEENA",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Grace Torff
• Elzbieta Tworzydlo, MD
• Erin Tyler, DPT
• Celia M Varga, PT
• Charles Michael Ventresca, D.C., L.AC.
• Tashi Wangyal, DO
• Margaret Whitting, MS ED
• Judith A. Williams, M.S., CCC/SLP

• Speech-Language Pathologist in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.