ALEXIS FASANO M.A., CCC-SLP
NPI 1164885752
Speech-Language Pathologist in Staten Island, NY

Active since March 31, 2016
47 JEROME AVE, STATEN ISLAND, NY 10305(917) 681-6324 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Fasano M.a., Ccc-slp NPPES

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

ALEXIS FASANO M.A., CCC-SLP (NPI 1164885752) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (025321-1) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1164885752
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameALEXIS FASANOCredential: M.A., CCC-SLP
Location Address47 JEROME AVEStaten Island, NY 10305-3601
Mailing Address47 Jerome AveStaten Island, NY 10305-3601 · (917) 681-6324
Sole ProprietorNo
Enumeration DateMarch 31, 2016
NPI 1164885752 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 · 025321-1
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.
47 JEROME AVE, Staten Island, NY 10305

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
47 JEROME AVE
STATEN ISLAND, NY 10305

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 Alexis Fasano's NPI number?

The NPI number for Alexis Fasano is 1164885752. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Alexis Fasano located?

Alexis Fasano practices at 47 Jerome Ave, Staten Island, NY 10305. The listed phone number is (917) 681-6324.

What is Alexis Fasano'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 Alexis Fasano was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.