Active NPI
Gabriel Oscar Lecusay
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1740725472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15947
- Practice address
- 7950 Lake Underhill Rd
Orlando, FL 32822-8229 - Phone
- (407) 658-2046
- NPI assigned
- Jan 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | SZ7937 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA15947 | FL | Primary |
Addresses
Primary practice location
7950 Lake Underhill Rd
Orlando, FL 32822-8229
Mailing address
1420 Waterford Oak Dr
Orlando, FL 32828-6011
Phone (954) 591-0445
Other practice location 1
830 29th St
Orlando, FL 32805-6219
Phone (407) 843-3230
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 |
|---|---|---|---|
| SA15947 | FL | MD | Speech-Language Pathologist |
| SZ7937 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1740725472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 WATERFORD OAK DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328286011",
"telephone_number": "954-591-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328228229",
"telephone_number": "407-658-2046"
}
],
"practiceLocations": [
{
"address_1": "830 29th St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328056219",
"country_code": "US",
"telephone_number": "407-843-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LECUSAY",
"first_name": "GABRIEL",
"middle_name": "OSCAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-04",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "SZ7937",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.