Individual provider Active NPI

Jessica Ellen Nicholas-Ragno, CCC-SLP

  • Speech-Language Pathologist
  • Franklin Square, NY
National Provider Identifier
1629190780
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008828 Issued in NY
Practice address
998 Van Buren Ave
Franklin Square, NY 11010-2120
Phone
(516) 521-5808
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 008828 NY Primary

Addresses

Primary practice location

998 Van Buren Ave
Franklin Square, NY 11010-2120

Mailing address

998 Van Buren Ave
Franklin Square, NY 11010-2120
Phone (516) 521-5808

Other names 1

  • Ms. Jessica Ellen Nicholas Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000099 NY Practitioner - Qualified Speech Language Pathologist 0648318949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1995
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

1500 Hempstead Turnpike
East Meadow, NY 11554-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Long Island CurrentSince Dec 23, 2014 Accepting new patients
Global Speech Language Pathology PC Speech-Language Pathologist CurrentSince Mar 7, 2016 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Dec 23, 2014 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629190780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 VAN BUREN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102120",
            "telephone_number": "516-521-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 VAN BUREN AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110102120",
            "telephone_number": "516-521-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS-RAGNO",
        "first_name": "JESSICA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "NICHOLAS",
            "middle_name": "ELLEN",
            "prefix": "MS.",
            "credential": "CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Franklin Square, 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.
  • 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.