Nikki Ann Indelicato

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

400 Montauk Hwy Ste 152
Babylon, NY 11702-3009

Phone

(631) 669-3736

Fax

(631) 669-3736

NPI assigned

May 22, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• South Shore Speech Language and Swallowing Disorders PLLC

  • Speech-Language Pathologist
  • Babylon, NY
  • NPI 1568798619
  Medicare reassignment NPD
• South Shore Center for Speech, Language and Swallowing Disorders, LLP

  • Early Intervention Provider Agency
  • Babylon, NY
  • NPI 1255579785
  NPD (past)

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1447942107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2547 ERICK CT",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104933",
            "telephone_number": "516-221-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY STE 152",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-669-3736",
            "fax_number": "631-669-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDELICATO",
        "first_name": "NIKKI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aroona Hussain
• Yuan Tong Hwang, MD
• William Iaccino, PH.D.
• Bethany A. Imbriale, LCSW
• Imedical Diagnostic Imaging Center of Naples, LLC
• Inspired Speech LLC
• Anthony Ippolito, DC
• Island Palliative Medicine, P.C.
• Jaclyn Benzoni OD PC
• James Stallone, D.O.

• Speech-Language Pathologist in Babylon, NY
• Providers in Babylon, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.

Verify at the official NPI Registry.