Active NPI
Nicole E Muia
- Speech-Language Pathologist
- Glen Head, NY
National Provider Identifier
1700117785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019714
- Practice address
- 6 Ellen CT
Glen Head, NY 11545-1401 - Phone
- (631) 513-8871
- NPI assigned
- Jan 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019714 | NY | Primary |
Addresses
Primary practice location
6 Ellen CT
Glen Head, NY 11545-1401
Mailing address
6 Ellen CT
Glen Head, NY 11545-1401
Phone (631) 513-8871
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019714 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756512000000",
"number": "1700117785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ELLEN CT",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451401",
"telephone_number": "631-513-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ELLEN CT",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115451401",
"telephone_number": "631-513-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUIA",
"first_name": "NICOLE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2025-08-30",
"certification_date": "2025-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Head, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.