NPIMap

Organization Active NPI

Manorville Speech Pathology, PC

  • Early Intervention Provider Agency
  • Wading River, NY
National Provider Identifier
1942443213
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MANORVILLE SPEECH PATHOLOGY, PC
Practice address
6144 Route 25a
Suite 9B
Wading River, NY 11792-2018
Phone
(631) 325-7755
Fax
(631) 886-1419
NPI assigned
Apr 15, 2009
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Mrs. Cheryl A RondinellaNPI 1861547069
Title
Speech Pathologist, Director
Phone
(631) 325-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

6144 Route 25a
Suite 9B
Wading River, NY 11792-2018

Mailing address

PO Box 125
Manorville, NY 11949-0125

National Provider Directory

National Provider Directory

Locations

6144 Route 25A
Ste 9B
Wading River, NY 11792
Phone (631) 325-7755

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1942443213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119490125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A",
            "address_2": "SUITE 9B",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922018",
            "telephone_number": "631-325-7755",
            "fax_number": "631-886-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANORVILLE SPEECH PATHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "RONDINELLA",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, DIRECTOR",
        "authorized_official_telephone_number": "631-325-7755",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.