Individual provider Active NPI

Terry Hausner Gozdziewski, TSHH, CCC-SLP

  • Speech-Language Pathologist
  • North Bellmore, NY
National Provider Identifier
1861769994
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58-003461 Issued in NY
Practice address
1601 Newbridge Rd
Newbridge Road Elementary School
North Bellmore, NY 11710-1603
Phone
(516) 992-3000
NPI assigned
Nov 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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 58-003461 NY Primary

Addresses

Primary practice location

1601 Newbridge Rd
Newbridge Road Elementary School
North Bellmore, NY 11710-1603

Mailing address

7135 252ND St
Bellerose, NY 11426-2742
Phone (718) 347-3641

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
58-003461NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1861769994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 252ND ST",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262742",
            "telephone_number": "718-347-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEWBRIDGE RD",
            "address_2": "NEWBRIDGE ROAD ELEMENTARY SCHOOL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101603",
            "telephone_number": "516-992-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOZDZIEWSKI",
        "first_name": "TERRY",
        "middle_name": "HAUSNER",
        "name_prefix": "Ms.",
        "credential": "TSHH, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58-003461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.