Individual provider Active NPI

Zoe Zagrobelny

  • Speech-Language Pathologist
  • Massena, NY
National Provider Identifier
1740874726
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
030535 Issued in NY
Practice address
84 Nightengale Ave
Massena, NY 13662-2594
Phone
(315) 764-3750
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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 030535 NY Primary

Addresses

Primary practice location

84 Nightengale Ave
Massena, NY 13662-2594

Mailing address

84 Nightengale Ave
Massena, NY 13662-2594
Phone (315) 764-3750

Other identifiers 1

IdentifierTypeStateIssuer
030535OtherNYSTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL zzagrobelny@mcs.k12.ny.us Direct

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
030535NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1740874726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 NIGHTENGALE AVE",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622594",
            "telephone_number": "315-764-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 NIGHTENGALE AVE",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136622594",
            "telephone_number": "315-764-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGROBELNY",
        "first_name": "ZOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "030535",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "zzagrobelny@mcs.k12.ny.us",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "84 Nightengale Ave",
            "city": "Massena",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136622594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.