Carol Johnson Giangrasso, SLP
Individual provider Active NPI Speech-Language Pathologist · Gardiner, NY
NPI 1700935806 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700935806
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 003647-1 (NY)
- Practice address
- 7 Mares LN
Gardiner, NY 12525-5224 - Phone
- (845) 256-9538
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epic Medical Services PC
Global Speech-Language Pathology PC
Practice addresses (Care Compare)
1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone (516) 739-7733
1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002
Phone (516) 327-4681
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091125000510 | NY | Practitioner - Qualified Speech Language Pathologist | 3375682644 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003647 | NY | MD | Acupuncturist |
| 003647-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Global Speech Language Pathology PC | Speech-Language Pathologist | Current |
Accepting new patients |
| Epic Long Island | Current |
Accepting new patients | |
| Epilepsy Foundation of L.I. | Current |
Accepting new patients | |
| Epic Medical Services PC | Current |
Accepting new patients | |
| Lifespire, Inc. | Past | Accepting new patients | |
| Lifespire, Inc. | Past | Accepting new patients |
Locations
1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420
1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 003647-1 | NY | Yes |
Addresses
Primary practice location
7 Mares LN
Gardiner, NY 12525-5224
Mailing address
7 Mares LN
Gardiner, NY 12525-5224
Phone (845) 256-9538
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003647-1 | Other | NY | STATE LICENSURE |
Other providers in Gardiner, NY
- Rebecca Ferrante
- Elizabeth Daire Fetherolf
- Vittoria Foti
- Gardiner Chiropractic PC
- Rosalie Geminiano
- Patricia Jean Gorman
- Gunks Physical Therapy, PLLC
- Patricia Hohmann
- Rudolf Jean Baptiste
- Melanie Koby
All providers in Gardiner, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.