Nicole Josephine Oganov, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028699 Issued in NY

Practice address

125 Oakland Ave Ste 303
Port Jefferson, NY 11777-2130

Phone

(201) 873-1404

NPI assigned

Jul 7, 2015

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

Other names 1

• Ms. Nicole Josephine Gokhman Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment Care Compare group NPD
• Global Speech Language Pathology PC

  • Speech-Language Pathologist
  • New Hyde Park, NY
  • NPI 1710359625
  Medicare reassignment NPD
• Epilepsy Foundation of L.I.

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1982087151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OSAGE ST",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842729",
            "telephone_number": "201-873-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OAKLAND AVE STE 303",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772130",
            "telephone_number": "201-873-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGANOV",
        "first_name": "NICOLE",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GOKHMAN",
            "middle_name": "JOSEPHINE",
            "prefix": "MS.",
            "credential": "MA, CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin M O'Connell, OTR
• Shauna S O'Hanlon
• Melanie Sarah O'Leary, PT, DPT
• Christine E O'Reilly
• Alexandria Nicole Odell, FNP-BC
• Christopher William Oglesby, DDS
• Frank D Oliveto, MD
• Jamie Olschewski, MD
• SM Eshwak Omam, PHARMD
• Marilou Mira Omoyon-Perham, NP

• Speech-Language Pathologist in Port Jefferson, NY
• Providers in Port Jefferson, 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 Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.