Active NPI
Roberta Carrubba, MS,, C.C.C.
- Speech-Language Pathologist
- Belle Harbor, NY
National Provider Identifier
1447543962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003907-1
- Practice address
- 13810 Cronston Ave
Belle Harbor, NY 11694-1232 - Phone
- (718) 945-9658
- NPI assigned
- May 17, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003907-1 | NY | Primary |
Addresses
Primary practice location
13810 Cronston Ave
Belle Harbor, NY 11694-1232
Mailing address
13810 Cronston Ave
Belle Harbor, NY 11694-1232
Phone (718) 945-9658
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003907-1 | NY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1447543962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13810 CRONSTON AVE",
"city": "BELLE HARBOR",
"state": "NY",
"postal_code": "116941232",
"telephone_number": "718-945-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13810 CRONSTON AVE",
"city": "BELLE HARBOR",
"state": "NY",
"postal_code": "116941232",
"telephone_number": "718-945-9658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRUBBA",
"first_name": "ROBERTA",
"name_prefix": "Mrs.",
"credential": "MS,, C.C.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003907-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belle Harbor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.