Andrew Emile Pancila Jr., CCC-SLP, CBIS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027342 Issued in NY

Practice address

21 Bond St Apt 3G
Great Neck, NY 11021-2029

Phone

(516) 849-4035

NPI assigned

Oct 1, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Gold Coast Speech & Swallowing SLP, PLLC

  • Speech-Language Pathologist
  • Great Neck, NY
  • NPI 1013789510

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1679114656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BOND ST APT 3G",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212029",
            "telephone_number": "516-849-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BOND ST APT 3G",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212029",
            "telephone_number": "516-849-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCILA",
        "first_name": "ANDREW",
        "middle_name": "EMILE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CCC-SLP, CBIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Palma Jr., PT, DPT
• Alexander Palmer, PH.D.
• Kexin Pan
• John Peter Panaro III, M.S.P.T.
• Pancare Inc
• Thomas Panetta, MD
• Robert H. Panzer, DDS
• Shirley Barrie Papilsky, MD
• Alexandra Nicole Pappas, NP
• Constantinos George Pappous, D.D.S.

• Speech-Language Pathologist in Great Neck, NY
• Providers in Great Neck, 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 Oct 1, 2019; 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.