Caroline Louise Ernecoff, MS, SLP-CCC, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12134936 Issued in NY

Practice address

589 Spruce Ave
Sayville, NY 11782-3322

Phone

(631) 567-1609

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Metro Care Providers PT, PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1639959919
  NPD (past)

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1760717201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 SPRUCE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "11782",
            "telephone_number": "631-567-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 SPRUCE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823322",
            "telephone_number": "631-567-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNECOFF",
        "first_name": "CAROLINE",
        "middle_name": "LOUISE",
        "credential": "MS, SLP-CCC, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12134936",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019126-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Doring, PSY.D.
• East End Nurse Practitioner in Family Health PC
• Justina M Eckley, PNP
• Edutherapy, Inc.
• Debra Entenberg, LCSW
• Frances Esposito, CARC
• Essnyc Inc
• Lori Estien, BCBA, LBA
• Evolve Therapy PLLC
• Ann Astrid Famularo, SP. ED

• Speech-Language Pathologist in Sayville, NY
• Providers in Sayville, 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 Oct 15, 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.