Peconic Speech Services, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PECONIC SPEECH SERVICES, P.C.

Practice address

22 Hollingwood Dr
Coram, NY 11727-3028

Phone

(631) 948-2822

Fax

(631) 880-7788

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Shannon GilsonNPI 1467587386

Title

President

Phone

(631) 948-2822

Specialties & licenses 1

Addresses

Other names 1

• Shannon Dupuis, SLP Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Gilson, M.S. CCC SLP

  • Speech-Language Pathologist
  • Coram, NY
  • NPI 1467587386
  Medicare reassignment Authorized official
• Racquel J Simpson, M.S., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • South Daytona, FL
  • NPI 1962077941
  NPD
• Brianna Rose Fonti, M.A.

  • Speech-Language Pathologist
  • Mastic Beach, NY
  • NPI 1134602089
  NPD (past)

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1679981385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOLLINGWOOD DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273028",
            "telephone_number": "631-948-2822",
            "fax_number": "631-880-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOLLINGWOOD DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273028",
            "telephone_number": "631-948-2822",
            "fax_number": "631-880-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECONIC SPEECH SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "GILSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-948-2822"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Dupuis, SLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jaclynn Paduano
• Gabrielle Palmieri
• Brian Henry Parsley, L.P.N
• Paul J Botticelli LCSW PC
• Susanna R. Paulay, LCSW
• Pederson Krag
• Julia Starr Pellettieri
• Bernice Pena
• Catherine J Penaloza
• Photina Faye Penn, PHYSICAL THERAPIST

• Speech-Language Pathologist in Coram, NY
• Providers in Coram, 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 Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.