Active NPI
Paige Donovan
- Speech-Language Pathologist
- Ronkonkoma, NY
National Provider Identifier
1003742453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 6234 Hawkins Avenue
Ronkonkoma, NY 11779 - Phone
- (631) 240-3579
- NPI assigned
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NY | Primary |
Addresses
Primary practice location
6234 Hawkins Avenue
Ronkonkoma, NY 11779
Mailing address
3835 Hickory St
Seaford, NY 11783-2602
Phone (516) 384-0221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1003742453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 HICKORY ST",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117832602",
"telephone_number": "516-384-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6234 HAWKINS AVENUE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "11779",
"telephone_number": "631-240-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.