Individual provider Active NPI

Mary Grace Gilbo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • East Stroudsburg, PA
National Provider Identifier
1871048108
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL013084 Issued in PA
Practice address
2493 Milford Rd
Suite #300
East Stroudsburg, PA 18301-9720
Phone
(570) 424-1706
Fax
(570) 424-6711
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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 SL013084 PA Primary

Addresses

Primary practice location

2493 Milford Rd
Suite #300
East Stroudsburg, PA 18301-9720

Mailing address

2493 Milford Rd
Suite #300
East Stroudsburg, PA 18301-9720
Phone (570) 424-1706

Other names 1

  • Mrs. Mary Grace Rossi 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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL013084PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health and Rehabilitation Services, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1871048108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 MILFORD RD",
            "address_2": "SUITE #300",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019720",
            "telephone_number": "570-424-1706",
            "fax_number": "570-424-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2493 MILFORD RD",
            "address_2": "SUITE #300",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183019720",
            "telephone_number": "570-424-1706",
            "fax_number": "570-424-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBO",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL013084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROSSI",
            "middle_name": "GRACE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.