Individual provider Active NPI

Catherine Mary Pocoroba, CCC-SLP

  • Speech-Language Pathologist
  • Hicksville, NY
National Provider Identifier
1881024917
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
005825-1 Issued in NY
Practice address
50 Stewart Ave
Hicksville, NY 11801-6159
Phone
(516) 733-2361
Fax
(516) 733-3520
NPI assigned
Nov 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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 005825-1 NY Primary

Addresses

Primary practice location

50 Stewart Ave
Hicksville, NY 11801-6159

Mailing address

50 Stewart Ave
Hicksville, NY 11801-6159
Phone (516) 733-2361

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
005825-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1881024917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 STEWART AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016159",
            "telephone_number": "516-733-2361",
            "fax_number": "516-733-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 STEWART AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016159",
            "telephone_number": "516-733-2361",
            "fax_number": "516-733-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCOROBA",
        "first_name": "CATHERINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-27",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.