Active NPI
Ricki Stabile, M.A., CCC-SLP, TSSLD
- Speech-Language Pathologist
- Jamaica, NY
National Provider Identifier
1578841318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021146-1
- Practice address
- 17937 137TH Ave
Jamaica, NY 11434-4032 - Phone
- (718) 528-5399
- NPI assigned
- Jul 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 021146-1 | NY | Primary |
Addresses
Primary practice location
17937 137TH Ave
Jamaica, NY 11434-4032
Mailing address
7 N Nancy PL
North Massapequa, NY 11758-1912
Phone (516) 509-5386
Other practice location 1
9 Hartwell Pl
Woodmere, NY 11598-1221
Phone (516) 509-5386
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 |
|---|---|---|---|
| 021146-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public School 37 | Past | Accepting new patients |
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.
-
- Student Health Clinic/Center
- Jamaica, NY
- NPI 1184980708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1578841318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 N NANCY PL",
"city": "NORTH MASSAPEQUA",
"state": "NY",
"postal_code": "117581912",
"telephone_number": "516-509-5386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17937 137TH AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344032",
"telephone_number": "718-528-5399"
}
],
"practiceLocations": [
{
"address_1": "9 Hartwell Pl",
"address_purpose": "LOCATION",
"city": "Woodmere",
"state": "NY",
"postal_code": "115981221",
"country_code": "US",
"telephone_number": "516-509-5386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STABILE",
"first_name": "RICKI",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-27",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021146-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.