Active NPI
Shari Elyssa Lobello
- Speech-Language Pathologist
- Hauppauge, NY
National Provider Identifier
1629445093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 025045-1
- Practice address
- 16 Lenore PL
Hauppauge, NY 11788-2706 - Phone
- (631) 697-5249
- NPI assigned
- Sep 1, 2015
- Last updated
- Sep 4, 2024
- 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 | 025045-1 | NY | Primary |
Addresses
Primary practice location
16 Lenore PL
Hauppauge, NY 11788-2706
Mailing address
16 Lenore PL
Hauppauge, NY 11788-2706
Phone (631) 697-5249
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025045-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1629445093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LENORE PL",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882706",
"telephone_number": "631-697-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 LENORE PL",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882706",
"telephone_number": "631-697-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBELLO",
"first_name": "SHARI",
"middle_name": "ELYSSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-01",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025045-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
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- Jennifer Lauren Lisojo
- Living Well Innovations Inc.
- Robert Locastro, DPM
- Long Island Arrhythmia Associates LLC
- Long Island Neuropsychological Services PLLC
- Long Island Select Healthcare, Inc. (LISH, Inc.)
- Long Island Select Healthcare, Inc. (LISH, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.