Individual provider Active NPI

Gina Vekselman, M.S.

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1689816449
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014734 Issued in NY
Practice address
329 McBaine Ave
Staten Island, NY 10309-4271
Phone
(646) 824-6466
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 014734 NY Primary

Addresses

Primary practice location

329 McBaine Ave
Staten Island, NY 10309-4271

Mailing address

181 Tallman St
Staten Island, NY 10312-4815
Phone (646) 824-6466

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gina@Gina.org Direct

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014734NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gina SLP PC Speech-Language Pathologist Past Accepting new patients
Building Blocks SLP PC Speech-Language Pathologist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gina@gina.org

Organizations & group practices 2

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1689816449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TALLMAN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124815",
            "telephone_number": "646-824-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MCBAINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103094271",
            "telephone_number": "646-824-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEKSELMAN",
        "first_name": "GINA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gina@Gina.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "181 Tallman St",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103124815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.