Individual provider Active NPI

Fidelina Joanna Robledo-Staino, MS, SLP

  • Speech-Language Pathologist
  • Mohegan Lake, NY
National Provider Identifier
1972880631
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015248-1 Issued in NY
Practice address
3634 Lexington Ave
Mohegan Lake, NY 10547-1244
Phone
(914) 528-2021
NPI assigned
Nov 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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 015248-1 NY Primary

Addresses

Primary practice location

3634 Lexington Ave
Mohegan Lake, NY 10547-1244

Mailing address

4 Toddville LN
Cortlandt Manor, NY 10567-4314
Phone (914) 293-7942

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
015248-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1972880631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TODDVILLE LN",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674314",
            "telephone_number": "914-293-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 LEXINGTON AVE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471244",
            "telephone_number": "914-528-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLEDO-STAINO",
        "first_name": "FIDELINA",
        "middle_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "MS, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015248-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.