Individual provider Active NPI

Corinna M. Geller, SLP

  • Speech-Language Pathologist
  • Valley Stream, NY
National Provider Identifier
1730493040
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
001203-1 Issued in NY
Practice address
36 Morris Pkwy
Valley Stream, NY 11580-2619
Phone
(516) 825-2518
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 001203-1 NY Primary

Addresses

Primary practice location

36 Morris Pkwy
Valley Stream, NY 11580-2619

Mailing address

36 Morris Pkwy
Valley Stream, NY 11580-2619
Phone (516) 825-2518

Other names 1

  • Ms. Corinna Matacotta Geller Other name

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

LicenseStateTypeSpecialty
001203-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1730493040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MORRIS PKWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802619",
            "telephone_number": "516-825-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MORRIS PKWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802619",
            "telephone_number": "516-825-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLER",
        "first_name": "CORINNA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "001203-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNA",
            "last_name": "GELLER",
            "middle_name": "MATACOTTA",
            "prefix": "MS.",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.