ELISSA S ROTOLO MS, CCC-SLP
NPI 1891214680
Speech-Language Pathologist in Port Washington, NY

Active since September 13, 2017
189 SOUNDVIEW DR, PORT WASHINGTON, NY 11050(212) 717-9916 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Sep 13, 2017 (2 updates tracked since 2017).

  • Individual
  • Female
  • Speech-Language Pathologist

About ELISSA ROTOLO

This page provides the complete NPI Profile along with additional information for Elissa Rotolo, a provider established in Port Washington, New York with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1891214680 assigned on September 2017. The practitioner's primary taxonomy code is 235Z00000X with license number 015032-1 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1891214680 Verify this NPI
Provider Name
ELISSA S ROTOLO MS, CCC-SLP
Gender
Female
Entity Type
Individual
Location Address
189 SOUNDVIEW DR PORT WASHINGTON, NY 11050
Location Phone
(212) 717-9916
Mailing Address
189 SOUNDVIEW DR PORT WASHINGTON, NY 11050
Mailing Phone
(212) 717-9916
Is Sole Proprietor?
Yes
Enumeration Date
09-13-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
015032-1
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891214680, enumerated as an "individual" on September 13, 2017.

The provider is located at 189 SOUNDVIEW DR PORT WASHINGTON, NY 11050 and the phone number is (212) 717-9916.

Speech-Language Pathologist with taxonomy code 235Z00000X.