Organization Active NPI

New York Speech-Language Pathology, PLLC

  • Speech-Language Pathologist
  • Bayside, NY
National Provider Identifier
1437570009
Registry record updated Dec 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEW YORK SPEECH-LANGUAGE PATHOLOGY, PLLC
Practice address
2391 Bell Blvd Ste 205
Bayside, NY 11360-2019
Phone
(718) 943-6202
Fax
(718) 943-6204
NPI assigned
Dec 26, 2013
Last updated
Dec 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Anna Miriello, M.S., CCC-SLPNPI 1083869432
Title
Director/Speech-Language Pathologis
Phone
(718) 943-6202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

2391 Bell Blvd Ste 205
Bayside, NY 11360-2019

Mailing address

2391 Bell Blvd Ste 205
Bayside, NY 11360-2019
Phone (718) 943-6202

National Provider Directory

National Provider Directory

Locations

2391 Bell Blvd
Ste 205
Flushing, NY 11360
Phone (718) 224-8382

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388016000000",
    "number": "1437570009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BELL BLVD STE 205",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602019",
            "telephone_number": "718-943-6202",
            "fax_number": "718-943-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BELL BLVD STE 205",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602019",
            "telephone_number": "718-943-6202",
            "fax_number": "718-943-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK SPEECH-LANGUAGE PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-26",
        "last_updated": "2013-12-26",
        "status": "A",
        "authorized_official_last_name": "MIRIELLO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH-LANGUAGE PATHOLOGIS",
        "authorized_official_telephone_number": "718-943-6202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2013; 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.