Alyssa Federico

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

62 Bonnie LN
Stony Brook, NY 11790-2544

Phone

(917) 282-4491

NPI assigned

Sep 18, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1750169009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BONNIE LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902544",
            "telephone_number": "917-282-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 BONNIE LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902544",
            "telephone_number": "917-282-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilfred Henry Farquharson IV, PH.D.
• Kanhai Farrakhan, MD
• Richelle Pamela Fassler
• Ashley Lynne Fassois, NP
• Taylor F Faust, DO
• Desiree Fedrich, NP
• Caitlin Feeks, D.O.
• Andrew Feit, M.D.
• Eric James Feldmann, MD
• Mark Anthony Fellows

• Speech-Language Pathologist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.