Individual provider Active NPI

Stephanie Ciesiulka, M.S. ED

  • Speech-Language Pathologist
  • West Seneca, NY
National Provider Identifier
1497144653
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024498 Issued in NY
Practice address
355 Harlem Rd
West Seneca, NY 14224-1825
Phone
(716) 821-7000
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 024498 NY Primary

Addresses

Primary practice location

355 Harlem Rd
West Seneca, NY 14224-1825

Mailing address

53 Michael Anthony LN
Depew, NY 14043-4921
Phone (716) 868-2274

Other practice location 1

3244 Queens Ln
Hamburg, NY 14075-2517
Phone (716) 868-2274

Other practice location 2

2049 George Urban Blvd
Depew, NY 14043-1823
Phone (716) 868-2274

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

NPI Registry JSON

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1497144653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MICHAEL ANTHONY LN",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434921",
            "telephone_number": "716-868-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HARLEM RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241825",
            "telephone_number": "716-821-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3244 Queens Ln",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140752517",
            "country_code": "US",
            "telephone_number": "716-868-2274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2049 George Urban Blvd",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140431823",
            "country_code": "US",
            "telephone_number": "716-868-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIESIULKA",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.