MR. ANDREW EMILE PANCILA JR. CCC-SLP, CBIS
NPI 1679114656
Speech-Language Pathologist in Great Neck, NY

Active since October 01, 2019Accepts Medicare Assignment
21 BOND ST APT 3G, GREAT NECK, NY 11021(516) 849-4035 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Andrew Emile Pancila Jr. Ccc-slp, Cbis NPPES

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

MR. ANDREW EMILE PANCILA JR. CCC-SLP, CBIS (NPI 1679114656) is an individual speech-language pathologist provider in Great Neck, New York, licensed in New York (027342) and active in the NPI registry since October 2019. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1679114656
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. ANDREW EMILE PANCILA JR.Credential: CCC-SLP, CBIS
Location Address21 BOND ST APT 3GGreat Neck, NY 11021-2029
Mailing Address21 Bond St Apt 3gGreat Neck, NY 11021-2029 · (516) 849-4035
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 1, 2019
✔ NPI 1679114656 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 · 027342
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.
21 BOND ST APT 3G, Great Neck, NY 11021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Andrew Emile Pancila Jr. Ccc-slp, Cbis 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 ID9032533294
PECOS Enrollment IDI20200721001670

Medicare Billing Reassignment

Medicare enrollment records show Andrew Pancila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
21 BOND ST APT 3G
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Speech-Language Pathologist
21 BOND ST APT 3G
GREAT NECK, NY 11021

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 Andrew Pancila's NPI number?

The NPI number for Andrew Pancila is 1679114656. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Andrew Pancila located?

Andrew Pancila practices at 21 Bond St Apt 3G, Great Neck, NY 11021. The listed phone number is (516) 849-4035.

What is Andrew Pancila's specialty?

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

Is Andrew Pancila enrolled in Medicare?

Yes. Andrew Pancila 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.

Which organization bills Medicare for Andrew Pancila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pancila reassigns Medicare benefits to Gold Coast Speech & Swallowing Slp, PLLC (Great Neck, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Pancila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Pancila was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.