Lauren Marie Berry

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

027914 Issued in NY

Practice address

550 Scraggy Hill Rd
Port Jefferson, NY 11777

Phone

(631) 791-4500

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1003341231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HALLEY DR",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117726515",
            "telephone_number": "516-236-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SCRAGGY HILL RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-791-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Hollywood Dr",
            "address_purpose": "LOCATION",
            "city": "Smithtown",
            "state": "NY",
            "postal_code": "117873135",
            "country_code": "US",
            "telephone_number": "631-366-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Little Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117434550",
            "country_code": "US",
            "telephone_number": "631-266-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William M Bennison, PH.D.
• Ajay V. Berdia, M.D.
• Susan H. Berg, D.S.W.
• Jennie Berges
• Phillip Berges
• Ryan Berry, MD
• Mark Edward Bertsch, FNP
• Henry J Best IV, D.O.
• Swagato Bhattacharyya, DO
• Ahmad F Bhatti, MD

• Speech-Language Pathologist in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.