Active NPI
Michelle Iannuzzi, MA CCC SLP
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1497989693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017519-1
- Practice address
- 3036 E Tremont Ave
Bronx, NY 10461-5733 - Phone
- (718) 823-3191
- NPI assigned
- May 4, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 017519-1 | NY | Primary |
Addresses
Primary practice location
3036 E Tremont Ave
Bronx, NY 10461-5733
Mailing address
3282 Middletown Rd
Bronx, NY 10465-1041
Phone (718) 801-3493
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017519-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1497989693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3282 MIDDLETOWN RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104651041",
"telephone_number": "718-801-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3036 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104615733",
"telephone_number": "718-823-3191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IANNUZZI",
"first_name": "MICHELLE",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017519-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.