Amy L Soojian, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013411 Issued in NY

Practice address

26 Woodfield Avenue
Fort Salonga, NY 11768-2441

Phone

(631) 651-2561

Fax

(631) 239-1139

NPI assigned

Jan 27, 2007

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1629124938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WOODFIELD AVENUE",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682441",
            "telephone_number": "631-651-2561",
            "fax_number": "631-239-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WOODFIELD AVENUE",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117682441",
            "telephone_number": "631-651-2561",
            "fax_number": "631-239-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOJIAN",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06938274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Christine Rosamilia
• Krista Sabatino, M.S.E.D.
• Patricia D Savino, RN
• Glenda Nancy Schechter, DDS
• Serenity Collective
• Danielle Stanley

• Speech-Language Pathologist in Fort Salonga, NY
• Providers in Fort Salonga, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.