Individual provider Active NPI

Elizabeth A Quartuccio

  • Speech-Language Pathologist
  • Mill Neck, NY
National Provider Identifier
1396014130
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
42465749 Issued in CT
Practice address
40 Frost Mill Rd
Mill Neck Manor School for the Deaf
Mill Neck, NY 11765
Phone
(516) 922-4100
NPI assigned
Dec 23, 2011
Last updated
Dec 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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 42465749 CT Primary

Addresses

Primary practice location

40 Frost Mill Rd
Mill Neck Manor School for the Deaf
Mill Neck, NY 11765

Mailing address

2 Creek PL
Locust Valley, NY 11560-1002
Phone (516) 671-5571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
42465749CTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1396014130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CREEK PL",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601002",
            "telephone_number": "516-671-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FROST MILL RD",
            "address_2": "MILL NECK MANOR SCHOOL FOR THE DEAF",
            "city": "MILL NECK",
            "state": "NY",
            "postal_code": "11765",
            "telephone_number": "516-922-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTUCCIO",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "42465749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.