Nicole Cestro, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027990 Issued in NY

Practice address

1225 Franklin Ave Ste 325
Garden City, NY 11530-1693

Phone

(516) 512-8905

NPI assigned

Aug 21, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Babble-Bloom Speech Language Pathology PLLC

  • Speech-Language Pathologist
  • Seaford, NY
  • NPI 1154244176
  NPD (past) Authorized official

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1396261400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 HARVARD LN",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117833528",
            "telephone_number": "516-554-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FRANKLIN AVE STE 325",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301693",
            "telephone_number": "516-512-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Bethpage Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "NY",
            "postal_code": "118034228",
            "country_code": "US",
            "telephone_number": "516-731-5588 x227",
            "fax_number": "516-577-9049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CESTRO",
        "first_name": "NICOLE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03858055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Anthony Cerrato, D.M.D.
• Lora Cerrato
• Jennifer Cerullo, PT
• Michael A Cervini, NP
• Jennifer Renee Cesar
• Cfo Retail Inc
• Cfo Retail of Long Island LLC
• Jane Kyung Cha, MSED
• Champion Physical Therapy, PLLC
• Benjamin Chang, MD

• Speech-Language Pathologist in Garden City, NY
• Providers in Garden City, 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 Mar 10, 2021; 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.