Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013934157 Individual Practitioner Female Practitioner

Angelene Ronquillo , ST

Speech-Language Pathologist • Utica, NY

Professional Overview & Biography Verified Profile Summary

Angelene Ronquillo, ST is a registered healthcare professional specializing in Speech-Language Pathologist in Utica, NY. Practice services are available at 2209 GENESEE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2209 Genesee St

Utica, NY 135015930

Telephone 3157988160
Fax 3157988397
Associated Practice Facility / Clinic
🏢 St Elizabeth Medical Center Facility NPI 1821093402

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Utica, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Utica, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 011564-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00279901 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Mary Seyse , OT

Occupational Therapist

NPI 1063505527

Occupational Therapist

Kaitlin Eisenhut-Freedman

Occupational Therapist

NPI 1144609587
Lisa Matteson , OT

Occupational Therapist

NPI 1205922788

Occupational Therapist

Ann Moore , PT

Physical Therapist

NPI 1215024062

Physical Therapist

Rebecca Zike , PT

Physical Therapist

NPI 1245257336

Physical Therapist

Rita Johnson , PT

Physical Therapist

NPI 1265452304

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 2209 GENESEE ST, UTICA, NY 135015930 (Tel: 3157988160)

📍
Updated Business Mailing Address July 09, 2007

Registered at 2209 GENESEE ST, UTICA, NY 135015930 (Tel: 3157988160)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as ANGELENE RONQUILLO, ST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Speech-Language Pathologist (License #011564-1 in NY)

🟢
Initial NPI Registration & Enumeration July 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013934157
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

2209 Genesee St

Utica, NY 135015930

Phone: 3157988160

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.