Individual provider Active NPI

Laura Ann Rogacki, M.S., CCC SLP

  • Speech-Language Pathologist
  • Blue Point, NY
National Provider Identifier
1467507939
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09299-1 Issued in NY
Practice address
235 Blue Point Ave
Blue Point, NY 11715-1203
Phone
(631) 363-5794
Fax
(631) 363-8046
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 09299-1 NY Primary

Addresses

Primary practice location

235 Blue Point Ave
Blue Point, NY 11715-1203

Mailing address

235 Blue Point Ave
Blue Point, NY 11715-1203
Phone (631) 363-5794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110713000480 NY Practitioner - Qualified Speech Language Pathologist 2062680242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Angels Center IncGroup PAC ID 0547409104, 2 clinicians

Practice addresses (Care Compare)

12 Platinum CT
Medford, NY 11763-2247
Phone (631) 868-3577

235 Blue Point Ave
Blue Point, NY 11715-1261
Phone (631) 363-5794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
009299NYMDOptometrist
09299-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Angels Center, Inc Speech-Language Pathologist CurrentSince May 1, 2011 Accepting new patients

Locations

235 Blue Point Ave
Blue Point, NY 11715
Phone (631) 363-5794

3500 Sunrise Hwy
Ste 111
Great River, NY 11739
Phone (631) 650-6545

12 Platinum Ct
Fl 1
Medford, NY 11763
Phone (631) 363-5794

77 N Centre Ave
Ste 215
Rockville Ctr, NY 11570
Phone (631) 363-5794

35 Church St
Ronkonkoma, NY 11779
Phone (631) 363-5794

1490 William Floyd Pkwy
Ste 107
Shirley, NY 11967
Phone (631) 363-1980

732 Smithtown Byp
Ste 303
Smithtown, NY 11787
Phone (631) 319-3350

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467507939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BLUE POINT AVE",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151203",
            "telephone_number": "631-363-5794",
            "fax_number": "631-363-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BLUE POINT AVE",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151203",
            "telephone_number": "631-363-5794",
            "fax_number": "631-363-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGACKI",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "M.S., CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "09299-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.