Individual provider Active NPI

Alicia Marie Santillo, M.S. ED, SLP-LIC

  • Speech-Language Pathologist
  • Buffalo, NY
National Provider Identifier
1922554005
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
025979-1 Issued in NY
Practice address
255 Porter Ave
Buffalo, NY 14201-1051
Phone
(716) 909-7420
NPI assigned
Aug 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 025979-1 NY Primary

Addresses

Primary practice location

255 Porter Ave
Buffalo, NY 14201-1051

Mailing address

70 Cottage St
Buffalo, NY 14201-2013
Phone (716) 909-7420

Other practice location 1

2733 Wehrle Dr
Buffalo, NY 14221-7348
Phone (716) 631-7503

Other practice location 2

33 Ash St
Buffalo, NY 14204-1445
Phone (716) 909-7420

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

State licenses

LicenseStateTypeSpecialty
025979-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Speech Services of Western New York 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1922554005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 COTTAGE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142012013",
            "telephone_number": "716-909-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PORTER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011051",
            "telephone_number": "716-909-7420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2733 Wehrle Dr",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142217348",
            "country_code": "US",
            "telephone_number": "716-631-7503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Ash St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142041445",
            "country_code": "US",
            "telephone_number": "716-909-7420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTILLO",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "M.S. ED, SLP-LIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025979-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.