Active NPI
Natalee Ambroze Masciandaro, M.A., CCC-SLP, TSSLD
- Speech-Language Pathologist
- Northport, NY
National Provider Identifier
1801252911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026244
- Practice address
- 158 Laurel Ave
Northport, NY 11768-3167 - Phone
- (631) 669-7098
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 026244 | NY | Primary |
Addresses
Primary practice location
158 Laurel Ave
Northport, NY 11768-3167
Mailing address
158 Laurel Ave
Northport, NY 11768-3167
Phone (631) 487-8831
Other practice location 1
1554 Northern Blvd
Manhasset, NY 11030-3053
Phone (516) 719-3717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
972 Brush Hollow Rd
Westbury, NY 11590-1740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026244 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Current | Accepting new patients | |
| South Shore Center for Speech, Language and Swallowing Disorders, LLP | Past | Accepting new patients | |
| South Shore Speech Language and Swallowing Disorders PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
145 Community Dr
Great Neck, NY 11021
Phone (516) 465-8260
972 Brush Hollow Rd
Westbury, NY 11590
Organizations & group practices 4
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.
-
- Hand Physical Therapist
- East Meadow, NY
- NPI 1770540593
-
- Occupational Therapist
- White Plains, NY
- NPI 1629825591
-
- Early Intervention Provider Agency
- Babylon, NY
- NPI 1255579785
-
- Speech-Language Pathologist
- Babylon, NY
- NPI 1568798619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1801252911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 LAUREL AVE",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117683167",
"telephone_number": "631-487-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 LAUREL AVE",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117683167",
"telephone_number": "631-669-7098"
}
],
"practiceLocations": [
{
"address_1": "1554 Northern Blvd",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303053",
"country_code": "US",
"telephone_number": "516-719-3717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASCIANDARO",
"first_name": "NATALEE",
"middle_name": "AMBROZE",
"credential": "M.A., CCC-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.