Individual provider Active NPI

Stacy Marie Simone, MS. SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1659712966
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022938 Issued in NY
Practice address
300 N End Ave Apt 2L
New York, NY 10282-1267
Phone
(973) 975-3025
Fax
(973) 975-3025
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 58 022938 NY
Speech-Language Pathologist 235Z00000X 022938 NY Primary

Addresses

Primary practice location

300 N End Ave Apt 2L
New York, NY 10282-1267

Mailing address

300 North End Avenue, #2L
New York, NY 10282
Phone (973) 975-3025

Other practice location 1

134 W 26th St
602
New York, NY 10001-6803
Phone (212) 604-9360

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

LicenseStateTypeSpecialty
022938NYMDSpeech-Language Pathologist
58 022938NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
City Sounds of Ny Past Accepting new patients

Organizations & group practices 1

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": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659712966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH END AVENUE, #2L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10282",
            "telephone_number": "973-975-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N END AVE APT 2L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102821267",
            "telephone_number": "973-975-3025",
            "fax_number": "973-975-3025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "134 W 26th St",
            "address_2": "602",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016803",
            "country_code": "US",
            "telephone_number": "212-604-9360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "credential": "MS. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58 022938",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.