Individual provider Active NPI

Priscilla L Carrozza, MA CCC-SLP, TSSLD-BE

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1831850858
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031300-01 Issued in NY
Practice address
2190 Folin St
Bronx, NY 10457-2302
Phone
(718) 584-0980
Fax
(718) 584-1358
NPI assigned
Jan 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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 031300-01 NY Primary

Addresses

Primary practice location

2190 Folin St
Bronx, NY 10457-2302

Mailing address

2190 Folin St
Bronx, NY 10457-2302
Phone (718) 584-0980

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

LicenseStateTypeSpecialty
031300-01NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1831850858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 FOLIN ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572302",
            "telephone_number": "718-584-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 FOLIN ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572302",
            "telephone_number": "718-584-0980",
            "fax_number": "718-584-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROZZA",
        "first_name": "PRISCILLA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP, TSSLD-BE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-02",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031300-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.