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MS. SAMANTHA CONNOLLY MS, CCC-SLP
NPI 1114464534
Speech-Language Pathologist in Queens Village, NY

Active since January 23, 2017Accepts Medicare Assignment
91.25/100
CMS Quality Rating
8043 212TH ST, QUEENS VILLAGE, NY 11427(718) 551-7105 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 16, 2020, Jan 23, 2017 (2 updates tracked since 2017).

About Ms. Samantha Connolly Ms, Ccc-slp NPPES

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

MS. SAMANTHA CONNOLLY MS, CCC-SLP (NPI 1114464534) is an individual speech-language pathologist provider in Queens Village, New York, licensed in New York (025569) and active in the NPI registry since January 2017. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1114464534
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. SAMANTHA CONNOLLYCredential: MS, CCC-SLP
Location Address8043 212TH STQueens Village, NY 11427-1014
Mailing Address1391 Holiday Park DrWantagh, NY 11793-2542 · (718) 551-7105
Phone(718) 551-7105
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 23, 2017
Last NPPES UpdateJune 16, 20202 updates tracked since enumeration
NPPES CertifiedJune 16, 2020
✔ NPI 1114464534 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 · 025569
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.
8043 212TH ST, Queens Village, NY 11427
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Samantha Connolly Ms, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931482486
PECOS Enrollment IDI20170208001412

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Connolly's NPI number?

The NPI number for Samantha Connolly is 1114464534. It was assigned to this individual provider in the NPPES registry on January 23, 2017.

Where is Samantha Connolly located?

Samantha Connolly practices at 8043 212th St, Queens Village, NY 11427. The listed phone number is (718) 551-7105.

What is Samantha Connolly's specialty?

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

Is Samantha Connolly enrolled in Medicare?

Yes. Samantha Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Connolly was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.