Active NPI
Tina Luisa Morello, M.A., CCC-SLP
- Speech-Language Pathologist
- Jamaica, NY
National Provider Identifier
1780011940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013996-1
- Practice address
- 18730 Grand Central Pkwy
Jamaica, NY 11432-5819 - Phone
- (516) 264-2931
- NPI assigned
- Oct 2, 2013
- 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 | 013996-1 | NY | Primary |
Addresses
Primary practice location
18730 Grand Central Pkwy
Jamaica, NY 11432-5819
Mailing address
490 Argyle Rd
Mineola, NY 11501-1014
Phone (516) 873-1936
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013996-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1780011940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 ARGYLE RD",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115011014",
"telephone_number": "516-873-1936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18730 GRAND CENTRAL PKWY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325819",
"telephone_number": "516-264-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELLO",
"first_name": "TINA",
"middle_name": "LUISA",
"name_prefix": "Mrs.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013996-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.