Individual provider Active NPI

Danielle Nuccio, MS, CCC-SLP, TSHH

  • Speech-Language Pathologist
  • Wantagh, NY
National Provider Identifier
1760622922
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013095 Issued in NY
Practice address
2850 North Jerusalem Road
Wantagh, NY 11793
Phone
(516) 396-2601
NPI assigned
Mar 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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 013095 NY Primary

Addresses

Primary practice location

2850 North Jerusalem Road
Wantagh, NY 11793

Mailing address

9 Dick CT
Northport, NY 11768-1900
Phone (631) 261-0930

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1760622922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DICK CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117681900",
            "telephone_number": "631-261-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 NORTH JERUSALEM ROAD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "11793",
            "telephone_number": "516-396-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCCIO",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP, TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.