SAMANTHA ROSE WAGNER MA CCC-SLP TSSLD
NPI 1053185405
Speech-Language Pathologist in Long Island City, NY

Q: What is Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1053185405. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Q: What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wagner was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 07, 2023

4829 37TH ST, LONG ISLAND CITY, NY 11101(646) 621-1320 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Nov 7, 2023 (2 updates tracked since 2023).

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About Samantha Rose Wagner Ma Ccc-slp Tssld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ROSE WAGNER MA CCC-SLP TSSLD (NPI 1053185405) is an individual speech-language pathologist provider in Long Island City, New York, licensed in New York (033514) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1053185405

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSAMANTHA ROSE WAGNERCredential: MA CCC-SLP TSSLD

Location Address4829 37TH STLong Island City, NY 11101-1903

Mailing Address7850 83rd StGlendale, NY 11385-7641 · (718) 366-1043

Phone(646) 621-1320

Sole ProprietorNo

Enumeration DateNovember 7, 2023

Last NPPES UpdateMay 2, 20242 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1053185405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NY · 033514

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4829 37TH ST, Long Island City, NY 11101

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Wagner's NPI number?

The NPI number for Samantha Wagner is 1053185405. It was assigned to this individual provider in the NPPES registry on November 7, 2023.

Where is Samantha Wagner located?

Samantha Wagner practices at 4829 37th St, Long Island City, NY 11101. The listed phone number is (646) 621-1320.

What is Samantha Wagner's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Samantha Wagner was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.