Individual provider Active NPI

Heidy Shwom Fishkind Santangelo, M.A.

  • Speech-Language Pathologist
  • Levittown, NY
National Provider Identifier
1770860827
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006375 Issued in NY
Practice address
45 Wantagh Ave
Levittown, NY 11756-5302
Phone
(151) 652-0217
Fax
(151) 673-1384
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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 006375 NY Primary

Addresses

Primary practice location

45 Wantagh Ave
Levittown, NY 11756-5302

Mailing address

45 Wantagh Avenue South
Levittown, NY 11756
Phone (151) 652-0217

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 Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Island Trees Ufsd Past Accepting new patients

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1770860827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WANTAGH AVENUE SOUTH",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "151-652-0217",
            "fax_number": "151-673-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WANTAGH AVE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565302",
            "telephone_number": "151-652-0217",
            "fax_number": "151-673-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHKIND SANTANGELO",
        "first_name": "HEIDY",
        "middle_name": "SHWOM",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.