Antonia Iavarone, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026975 Issued in NY

Practice address

15 Lucille Dr
Syosset, NY 11791-3725

Phone

(516) 816-6383

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Antonia Skoufis Former name

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.

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1376079012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ERICK CT",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 LUCILLE DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913725",
            "telephone_number": "516-816-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAVARONE",
        "first_name": "ANTONIA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIA",
            "last_name": "SKOUFIS",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeonghwa Hur
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• Dafna Gita Hursala
• Jeanne Hynes, CCC-SLP
• Victoria Ashley Hytell, M.S., CCC-SLP
• Samy Ibrahim, MD
• Fanny T. Iglesias, LMSW
• Daniel Ilyaich, DDS
• Innovafuse Infusion Services, LLC
• Internal Medicine of North Shore, PC

• Speech-Language Pathologist in Syosset, NY
• Providers in Syosset, 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 Sep 16, 2019; 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.