Active NPI
Emily Sara Caracci, M.S. CCC-SLP, TSSLD
- Speech-Language Pathologist
- Woodside, NY
National Provider Identifier
1902410145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031552
- Practice address
- 5425 Skillman Ave
Woodside, NY 11377-4243 - Phone
- (929) 208-4494
- NPI assigned
- Sep 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Speech-Language Pathologist | 235Z00000X | 031552 | NY | Primary |
Addresses
Primary practice location
5425 Skillman Ave
Woodside, NY 11377-4243
Mailing address
7925 214TH St
Oakland Gardens, NY 11364-3509
Phone (718) 736-4939
Other practice location 1
15050 14th Rd
Whitestone, NY 11357-2609
Phone (718) 767-0071
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1902410145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 214TH ST",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113643509",
"telephone_number": "718-736-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5425 SKILLMAN AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774243",
"telephone_number": "929-208-4494"
}
],
"practiceLocations": [
{
"address_1": "15050 14th Rd",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "113572609",
"country_code": "US",
"telephone_number": "718-767-0071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARACCI",
"first_name": "EMILY",
"middle_name": "SARA",
"credential": "M.S. CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-04",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.