Individual provider Active NPI

Barbara Vella, CCC/SLP

  • Speech-Language Pathologist
  • Syosset, NY
National Provider Identifier
1750536835
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004102-1 Issued in NY
Practice address
2 Roosevelt Ave
Suite 3
Syosset, NY 11791-3064
Phone
(516) 496-4460
Fax
(516) 921-4432
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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 004102-1 NY Primary

Addresses

Primary practice location

2 Roosevelt Ave
Suite 3
Syosset, NY 11791-3064

Mailing address

2 Roosevelt Ave
Suite 3
Syosset, NY 11791-3064
Phone (516) 496-4460

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
004102-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1750536835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 3",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913064",
            "telephone_number": "516-496-4460",
            "fax_number": "516-921-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVE",
            "address_2": "SUITE 3",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913064",
            "telephone_number": "516-496-4460",
            "fax_number": "516-921-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLA",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004102-1",
            "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 Nov 17, 2008; 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.