Active NPI
Nicole R Esposito, M.S. CCC-SLP
- Speech-Language Pathologist
- Syosset, NY
National Provider Identifier
1710393459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 175 Jericho Tpke
Suite 103
Syosset, NY 11791-4546 - Phone
- (516) 364-1234
- Fax
- (516) 364-3132
- NPI assigned
- Jul 2, 2014
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
175 Jericho Tpke
Suite 103
Syosset, NY 11791-4546
Mailing address
175 Jericho Tpke
Suite 103
Syosset, NY 11791-4546
Phone (516) 364-1234
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024015 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syosset Speech & Hearing | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1710393459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 JERICHO TPKE",
"address_2": "SUITE 103",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914546",
"telephone_number": "516-364-1234",
"fax_number": "516-364-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 JERICHO TPKE",
"address_2": "SUITE 103",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914546",
"telephone_number": "516-364-1234",
"fax_number": "516-364-3132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPOSITO",
"first_name": "NICOLE",
"middle_name": "R",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.