Emily Leanne Wegman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030103 Issued in NY

Practice address

65 Bengal Ter
Rochester, NY 14610-2807

Phone

(585) 355-7180

Fax

(585) 625-0078

NPI assigned

Jul 19, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester Speech Language Pathology PLLCGroup PAC ID 7315331741, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rochester Speech Language Pathology, PLLC

  • Speech-Language Pathologist
  • Rochester, NY
  • NPI 1619556271

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1902479900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BENGAL TER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102807",
            "telephone_number": "585-355-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BENGAL TER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146102807",
            "telephone_number": "585-355-7180",
            "fax_number": "585-625-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGMAN",
        "first_name": "EMILY",
        "middle_name": "LEANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lionel Weerasinghe, MD
• Mervyn Upali Weerasinghe, M.D
• Jessica Leigh Weese
• Adrienne Wegman
• David Wegman
• Sarah Jane Wegman
• Susan J Wegman, D.O.
• Wegmans Food Markets, Inc (Wegmans Pharmacy #061)
• Wegmans Food Markets, Inc.
• Wegmans Food Markets, Inc. (Wegmans Pharmacy #022)

• Speech-Language Pathologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.