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Shannon Masullo, MS CCC-SLP, IBCLC
NPI 1396125787 · Specialist · Astoria, NY
Shannon Masullo, MS CCC-SLP, IBCLC is a Specialist provider in Astoria, NY (NPI 1396125787).
Provider details
- NPI number
- 1396125787
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MS CCC-SLP, IBCLC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2004 43rd St
Astoria, NY 11105-1239
Phone: (646) 772-6685
Street-level locationGet directions
Mailing address
2004 43rd St
Astoria, NY 11105-1239
Registry dates
- Enumerated
- 2015-06-01
- Last updated
- 2025-04-22
- Certified
- 2025-03-15
Frequently asked questions
- What is Shannon Masullo's NPI number?
- Shannon Masullo's National Provider Identifier (NPI) is 1396125787, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Masullo's specialty?
- Shannon Masullo is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Shannon Masullo located?
- Shannon Masullo's practice location on file with NPPES is 2004 43rd St, Astoria, NY 11105-1239.
- What is Shannon Masullo's phone number?
- The practice phone number listed in the NPPES registry for Shannon Masullo is (646) 772-6685.
- Is Shannon Masullo's NPI active?
- Yes — Shannon Masullo's NPI (1396125787) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.