Individual provider Active NPI

Roberta Poslusny Gammons, SLP

  • Speech-Language Pathologist
  • Rochester, NY
National Provider Identifier
1407152069
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4238-1 Issued in NY
Practice address
31 Bryan St
Virgil I. Grissom School #7
Rochester, NY 14613-1714
Phone
(585) 254-3110
NPI assigned
Jan 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 4238-1 NY Primary

Addresses

Primary practice location

31 Bryan St
Virgil I. Grissom School #7
Rochester, NY 14613-1714

Mailing address

31 Bryan St
Virgil I. Grissom School #7
Rochester, NY 14613-1714
Phone (585) 254-3110

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
4238-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1407152069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BRYAN ST",
            "address_2": "VIRGIL I. GRISSOM SCHOOL #7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131714",
            "telephone_number": "585-254-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BRYAN ST",
            "address_2": "VIRGIL I. GRISSOM SCHOOL #7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131714",
            "telephone_number": "585-254-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMONS",
        "first_name": "ROBERTA",
        "middle_name": "POSLUSNY",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "4238-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.