Individual provider Active NPI

Lori Wasserman-Rizzo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Centerport, NY
National Provider Identifier
1962542985
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011902-1 Issued in NY
Practice address
97 Little Neck Rd
Centerport, NY 11721-1615
Phone
(631) 513-0645
Fax
(631) 513-0645
NPI assigned
Feb 7, 2007
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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 011902-1 NY Primary

Addresses

Primary practice location

97 Little Neck Rd
Centerport, NY 11721-1615

Mailing address

34 Highwood Dr
Northport, NY 11768-2216
Phone (631) 513-0645

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
011902-1NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1962542985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HIGHWOOD DR",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682216",
            "telephone_number": "631-513-0645",
            "fax_number": "631-513-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 LITTLE NECK RD",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211615",
            "telephone_number": "631-513-0645",
            "fax_number": "631-513-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSERMAN-RIZZO",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011902-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.