Individual provider Active NPI

Grace Debiccari, MA;CCC-SLP

  • Speech-Language Pathologist
  • West Babylon, NY
National Provider Identifier
1588847032
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015719 Issued in NY
Practice address
1729 Quarter St
West Babylon, NY 11704-7013
Phone
(631) 275-4062
NPI assigned
Dec 6, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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 015719 NY Primary

Addresses

Primary practice location

1729 Quarter St
West Babylon, NY 11704-7013

Mailing address

1729 Quarter St
West Babylon, NY 11704-7013
Phone (631) 275-4062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000682 NY Practitioner - Qualified Speech Language Pathologist 4284771817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Practice addresses (Care Compare)

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone 5167397733420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015719NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Medical Services PC CurrentSince Mar 1, 2017 Accepting new patients
Epic Long Island CurrentSince Aug 1, 2013 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Aug 1, 2013 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

506 Stewart Ave
Village of Garden City, NY 11530
Phone (516) 705-3400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1588847032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 QUARTER ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047013",
            "telephone_number": "631-275-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 QUARTER ST",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117047013",
            "telephone_number": "631-275-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBICCARI",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MA;CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.