Active NPI
Daniella Latino
- Speech-Language Pathologist
- Garden City, NY
National Provider Identifier
1407469083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031309
- Practice address
- 300 Garden City PLZ
Garden City, NY 11530-3302 - Phone
- (516) 747-9030
- NPI assigned
- Aug 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 031309 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
300 Garden City PLZ
Garden City, NY 11530-3302
Mailing address
16 Gridley St
West Islip, NY 11795-1007
Phone (163) 165-5320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14 Harold Rd
Plainview, NY 11803-3908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031309 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Wide Speech | Current | Accepting new patients | |
| Kidz Therapy Services, LLC | Past | Accepting new patients | |
| Gayle E Kilgman Therapuetic Resources | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Hearing and Speech Clinic/Center
- Bellmore, NY
- NPI 1841625936
-
- Specialist
- Garden City, NY
- NPI 1073875795
-
- Community/Behavioral Health Agency
- Garden City, NY
- NPI 1841649928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636070400000",
"number": "1407469083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GRIDLEY ST",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117951007",
"telephone_number": "163-165-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GARDEN CITY PLZ",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303302",
"telephone_number": "516-747-9030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATINO",
"first_name": "DANIELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2021-11-05",
"certification_date": "2021-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031309",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.