Individual provider Active NPI

Angelina Seliwonchic, SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1366382517
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
035216-01 Issued in NY
Practice address
46 Cook St
Brooklyn, NY 11206-4004
Phone
(718) 701-7300
Fax
(718) 701-7301
NPI assigned
Mar 30, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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 035216-01 NY Primary

Addresses

Primary practice location

46 Cook St
Brooklyn, NY 11206-4004

Mailing address

46 Cook St
Brooklyn, NY 11206-4004
Phone (718) 701-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260525000010 NY Practitioner - Qualified Speech Language Pathologist 2769952431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 N Orange Ave
Suite 800
Orlando, FL 32801-2381

2680 E 19TH St
Apt 1a
Brooklyn, NY 11235-3307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035216-01NYMDSpeech-Language Pathologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1366382517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 COOK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064004",
            "telephone_number": "718-701-7300",
            "fax_number": "718-701-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 COOK ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064004",
            "telephone_number": "718-701-7300",
            "fax_number": "718-701-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIWONCHIC",
        "first_name": "ANGELINA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "035216-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; 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.