Individual provider Active NPI

Rose L. Ateniese, M.S., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Brookyln, NY
National Provider Identifier
1750683157
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019537-1 Issued in NY
Practice address
2025 74TH Street
Brookyln, NY 11204
Phone
(516) 410-5112
NPI assigned
Nov 17, 2010
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 019537-1 NY Primary

Addresses

Primary practice location

2025 74TH Street
Brookyln, NY 11204

Mailing address

25 Route 111 Unit 971
Smithtown, NY 11787-7039
Phone (516) 410-5112

Other names 1

  • Ms. Rose L. Ateniese-Steinberg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124002957 NY Practitioner - Qualified Speech Language Pathologist 6204328560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

44 Holland Ave
Albany, NY 12208-3411

8045 Winchester Blvd
Queens Village, NY 11427-2193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019537-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Nov 1, 2025 Accepting new patients
State of New York Comptrollers Office CurrentSince Nov 1, 2025 Accepting new patients

Locations

44 Holland Ave
Fl 4
Albany, NY 12208

8045 Winchester Blvd
Bldg 80
Queens Village, NY 11427
Phone (718) 217-4242

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1750683157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ROUTE 111 UNIT 971",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117877039",
            "telephone_number": "516-410-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 74TH STREET",
            "city": "BROOKYLN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "516-410-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENIESE",
        "first_name": "ROSE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019537-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "ATENIESE-STEINBERG",
            "middle_name": "L.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookyln, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.