Stephanie Anne Radler, MS-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023825-1 Issued in NY

Practice address

6007 Fair Lakes Rd
East Syracuse, NY 13057-1253

Phone

(315) 234-5730

Fax

(315) 433-0911

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment
• Monroe Ddso Clinic Pittsford

  • Developmental Disabilities Clinic/Center
  • Pittsford, NY
  • NPI 1063546778
  NPD
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Syracuse, NY
  • NPI 1972637684
  NPD (past)

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1922590108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 FAIR LAKES RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571253",
            "telephone_number": "315-473-3121",
            "fax_number": "315-433-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 FAIR LAKES RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130571253",
            "telephone_number": "315-234-5730",
            "fax_number": "315-433-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLER",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Putrelo, MS ED TOD
• Guillermo Quetell, M.D.
• Jessica Lee Quinlan, PA
• Kari Quinn, LMSW
• Lyndsay Raasch, P.A.
• Jonathan Ramalho, M.D.
• Jenna Catherine Randall, RN, BSN, FNP-C
• Julie C Randall, PT
• Zachary Randazzo
• Brian Raphael, M.D.

• Speech-Language Pathologist in East Syracuse, NY
• Providers in East Syracuse, 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 Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.