Individual provider Active NPI

Antonetta Ciminelli, M. A. CCC-SLP, TSHH

  • Speech-Language Pathologist
  • Elmont, NY
National Provider Identifier
1427385707
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013141 Issued in NY
Practice address
1880 Dutch Broadway
Elmont, NY 11003-4246
Phone
(516) 326-5500
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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 013141 NY Primary

Addresses

Primary practice location

1880 Dutch Broadway
Elmont, NY 11003-4246

Mailing address

114 Knollwood Dr
Carle Place, NY 11514-1408
Phone (516) 414-8107

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
013141NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1427385707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 KNOLLWOOD DR",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141408",
            "telephone_number": "516-414-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 DUTCH BROADWAY",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034246",
            "telephone_number": "516-326-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINELLI",
        "first_name": "ANTONETTA",
        "name_prefix": "Mrs.",
        "credential": "M. A. CCC-SLP, TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.