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KELLY CORONADO
NPI 1851086136
Speech-Language Pathologist in Hicksville, NY

Active since April 11, 2023Accepts Medicare Assignment
400 S OYSTER BAY RD STE 102, HICKSVILLE, NY 11801(631) 240-3579 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Coronado NPPES

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

KELLY CORONADO (NPI 1851086136) is an individual speech-language pathologist provider in Hicksville, New York and active in the NPI registry since April 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1851086136
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKELLY CORONADO
Location Address400 S OYSTER BAY RD STE 102Hicksville, NY 11801-3500
Mailing Address9123 220th StQueens Village, NY 11428-1346
Phone(631) 240-3579
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1851086136 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
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.
400 S OYSTER BAY RD STE 102, Hicksville, NY 11801
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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

Kelly Coronado 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 ID9638647902
PECOS Enrollment IDI20260505002309

Medicare Billing Reassignment

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

Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC
6.2 mi
Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group
NPI 1356742365 (516) 745-8070

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 20

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

BRIANNA ROSAMILIA OTR/L
Occupational Therapist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (631) 240-3579
CRYSTAL J LAURICE LCSW
Social Worker (Clinical)
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (516) 818-8383
GEMMA ROBERTA FORMICOLA
Speech-Language Pathologist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (631) 240-3579
SAMANTHA LYNN ABTEY MS, SLP
Speech-Language Pathologist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County No phone listed
BRIANNA PAULSEN
Speech-Language Pathologist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (631) 240-3579
TARA JANKOWSKI
Speech-Language Pathologist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (631) 240-3579
MARISA VICTORIA TOMEO
Speech-Language Pathologist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (516) 595-7550
GABRIELLA KAVITA PURAN
Speech-Language Pathologist
400 S OYSTER BAY RD STE 102
HICKSVILLE, NY 11801
Nassau County (631) 240-3579

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 Kelly Coronado's NPI number?

The NPI number for Kelly Coronado is 1851086136. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Kelly Coronado located?

Kelly Coronado practices at 400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801. The listed phone number is (631) 240-3579.

What is Kelly Coronado's specialty?

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

Is Kelly Coronado enrolled in Medicare?

Yes. Kelly Coronado 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 Kelly Coronado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Coronado reassigns Medicare benefits to Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, 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 Kelly Coronado'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 Kelly Coronado was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.