Active NPI
Adrianna Rose Magno, M.S., CCC-SLP
- Speech-Language Pathologist
- Hauppauge, NY
National Provider Identifier
1518484757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027199-1
- Practice address
- 49 Wireless Blvd Ste 170
Hauppauge, NY 11788-3946 - Phone
- (631) 869-4082
- NPI assigned
- Aug 28, 2017
- Last updated
- Oct 18, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 027199-1 | NY | Primary |
Addresses
Primary practice location
49 Wireless Blvd Ste 170
Hauppauge, NY 11788-3946
Mailing address
4 Conklin Ave
Selden, NY 11784-2204
Phone (631) 681-4263
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027199-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508284800000",
"number": "1518484757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CONKLIN AVE",
"city": "SELDEN",
"state": "NY",
"postal_code": "117842204",
"telephone_number": "631-681-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 WIRELESS BLVD STE 170",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883946",
"telephone_number": "631-869-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGNO",
"first_name": "ADRIANNA",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-28",
"last_updated": "2017-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027199-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.