Individual provider Active NPI

Alison Bancroft Komorowski, CCC-SLP

  • Speech-Language Pathologist
  • Elmont, NY
National Provider Identifier
1841578150
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020982 Issued in NY
Practice address
621 Elmont Rd
Elmont, NY 11003-4028
Phone
(516) 616-0671
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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 020982 NY Primary

Addresses

Primary practice location

621 Elmont Rd
Elmont, NY 11003-4028

Mailing address

621 Elmont Rd
Elmont, NY 11003-4028
Phone (516) 616-0671

Other names 1

  • Alison Bancroft Bianco Former name

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

State licenses

LicenseStateTypeSpecialty
020982NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1841578150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034028",
            "telephone_number": "516-616-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034028",
            "telephone_number": "516-616-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMOROWSKI",
        "first_name": "ALISON",
        "middle_name": "BANCROFT",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "BIANCO",
            "middle_name": "BANCROFT",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.