Active NPI
Gayle Elizabeth Sorrentino, MS, CCC-SLP
- Speech-Language Pathologist
- New Hyde Park, NY
National Provider Identifier
1952573669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 002245
- Practice address
- 430 Lakeville Road
North Shore Lij Hearing and Speech Center
New Hyde Park, NY 11042 - Phone
- (718) 470-8910
- Fax
- (718) 347-8241
- NPI assigned
- Apr 2, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 002245 | NY | Primary |
Addresses
Primary practice location
430 Lakeville Road
North Shore Lij Hearing and Speech Center
New Hyde Park, NY 11042
Mailing address
430 Lakeville Road
Hearing and Speech Center
New Hyde Park, NY 11042
Phone (718) 470-8910
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002245 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1952573669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 LAKEVILLE ROAD",
"address_2": "HEARING AND SPEECH CENTER",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "718-470-8910",
"fax_number": "718-347-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 LAKEVILLE ROAD",
"address_2": "NORTH SHORE LIJ HEARING AND SPEECH CENTER",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "11042",
"telephone_number": "718-470-8910",
"fax_number": "718-347-8241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRENTINO",
"first_name": "GAYLE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "002245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.