Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Josephine Oganov, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1982087151

Mrs. Nicole Josephine Oganov, MA, CCC-SLP is a Qualified Speech Language Pathologist in Port Jefferson, New York. Qualified in 2018, 8 years ago. Practices with Epic Long Island, a 43-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2015
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

125 Oakland Ave Ste 303
Port Jefferson, NY 11777-2130
Phone: (201) 873-1404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 028699 (NY)

Record details

NPI number1982087151
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 7, 2015
Last updated in NPPESJune 5, 2025
Certification dateJune 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Epic Long Island — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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