Active NPI
Gerald George Ross, SPEECH-LANGUAGE PATH
- Speech-Language Pathologist
- Great Neck, NY
National Provider Identifier
1609910736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013138-1
- Practice address
- 18 Cary Rd
Great Neck, NY 11021-1518 - Phone
- (516) 466-9740
- Fax
- (516) 466-9740
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 | 013138-1 | NY | Primary |
Addresses
Primary practice location
18 Cary Rd
Great Neck, NY 11021-1518
Mailing address
18 Cary Rd
Great Neck, NY 11021-1518
Phone (516) 466-9740
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013138-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609910736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CARY RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211518",
"telephone_number": "516-466-9740",
"fax_number": "516-466-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 CARY RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110211518",
"telephone_number": "516-466-9740",
"fax_number": "516-466-9740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "GERALD",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "SPEECH-LANGUAGE PATH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013138-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.