Active NPI
Denise Marie Avignone, M.S., CCC-SLP
- Speech-Language Pathologist
- Blue Point, NY
National Provider Identifier
1760760169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021238-1
- Practice address
- 235 Blue Point Ave
Blue Point, NY 11715-1261 - Phone
- (631) 363-5794
- NPI assigned
- Aug 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 021238-1 | NY | Primary |
Addresses
Primary practice location
235 Blue Point Ave
Blue Point, NY 11715-1261
Mailing address
235 Blue Point Ave
Blue Point, NY 11715-1261
Phone (631) 363-5794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170412000158 | NY | Practitioner - Qualified Speech Language Pathologist | 5294011979 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021238 | NY | MD | Occupational Therapist |
| 021238-1 | NY | MD | Speech-Language Pathologist |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1760760169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 BLUE POINT AVE",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151261",
"telephone_number": "631-363-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 BLUE POINT AVE",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151261",
"telephone_number": "631-363-5794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVIGNONE",
"first_name": "DENISE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021238-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.