Ashley Rose Waldvogel, M.S. CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

622 Hawkins Ave
Ronkonkoma, NY 11779-2374

Phone

(631) 240-3579

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Andrea E Nomberg Physician PC

  • Family Medicine Physician
  • Ronkonkoma, NY
  • NPI 1295394120
  NPD

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1629550991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 LINDEN ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522514",
            "telephone_number": "516-462-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HAWKINS AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792374",
            "telephone_number": "631-240-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Franklin Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115301693",
            "country_code": "US",
            "telephone_number": "516-512-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALDVOGEL",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhannie Vorbe, RPA-C
• Vra Mental Health Counseling PLLC
• Anthony Vultaggio
• Cerissa Vultaggio, LMHC
• Taras Vysotskyy
• Briana Walker
• John Wallman, DC
• Corinna Walsh
• Patricia C. Walter, M.S.
• Louis Walthall, LCSWR, CASAC

• Speech-Language Pathologist in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Dec 4, 2019; 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.