Organization Active NPI

Anna Miriello SLP PC

  • Speech-Language Pathologist
  • Bayside, NY
National Provider Identifier
1467791087
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015773-1 Issued in NY
Legal business name
ANNA MIRIELLO SLP PC
Practice address
2391 Bell Blvd
Suite 205
Bayside, NY 11360-2000
Phone
(718) 943-6202
Fax
(718) 943-6204
NPI assigned
Feb 1, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 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
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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 015773-1 NY Primary

Addresses

Primary practice location

2391 Bell Blvd
Suite 205
Bayside, NY 11360-2000

Mailing address

2391 Bell Blvd
Suite 205
Bayside, NY 11360-2000
Phone (718) 943-6202

National Provider Directory

National Provider Directory

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": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1467791087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BELL BLVD",
            "address_2": "SUITE 205",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602000",
            "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",
            "address_2": "SUITE 205",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602000",
            "telephone_number": "718-943-6202",
            "fax_number": "718-943-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA MIRIELLO SLP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MIRIELLO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-943-6202",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015773-1",
            "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 Nov 6, 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.