Active NPI 1093149676 Individual Practitioner Female Practitioner

Nicole Hagan

Speech-Language Pathologist • Woodside, NY

Professional Overview & Biography Verified Profile Summary

Nicole Hagan is a registered healthcare professional specializing in Speech-Language Pathologist in Woodside, NY. Practice services are available at 42-00 72ND STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42-00 72nd Street
Nyc Department Of Education- P.s. 12

Woodside, NY 11377

Telephone 5163959134

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Woodside, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

67 Specialists

Practicing in Woodside, 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

CMS Verified: 2020-08-24

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 024019

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.

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address August 24, 2020

Registered at 456 SPRUCE LN, EAST MEADOW, NY 115543704 (Tel: 5163959134)

👤

Provider Name / Credentials Updated August 24, 2020

Recorded as NICOLE HAGAN

✅

NPI Profile Active December 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 08, 2016

Registered at 42-00 72ND STREET, NYC DEPARTMENT OF EDUCATION- P.S. 12, WOODSIDE, NY 11377 (Tel: 5163959134)

📍

Updated Business Mailing Address December 08, 2016

Registered at 60-49 251ST STREET, LITTLE NECK, NY 11362 (Tel: 5163959134)

👤

Provider Name / Credentials Updated December 08, 2016

Recorded as NICOLE MARMEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2016

Speech-Language Pathologist (License #024019 in NY)

🟢

Initial NPI Registration & Enumeration August 30, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093149676

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2013

Last Update: August 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

456 Spruce Ln

East Meadow, NY 115543704

Phone: 5163959134

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.