Active NPI
Andrea Longo, MS, CCC-SLP, TSHH
- Speech-Language Pathologist
- Long Beach, NY
National Provider Identifier
1790920205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0176721
- Practice address
- 70 Maryland Ave
Long Beach, NY 11561-1244 - Phone
- (917) 414-0855
- NPI assigned
- Dec 11, 2008
- 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 | 0176721 | NY | Primary |
Addresses
Primary practice location
70 Maryland Ave
Long Beach, NY 11561-1244
Mailing address
70 Maryland Ave
Long Beach, NY 11561-1244
Phone (917) 414-0855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0176721 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1790920205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MARYLAND AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611244",
"telephone_number": "917-414-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MARYLAND AVE",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115611244",
"telephone_number": "917-414-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP, TSHH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0176721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.