Lisa Dawn Tafuro, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009459 Issued in NY

Practice address

284 Sayville Blvd
Sayville, NY 11782-2012

Phone

(631) 935-3273

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Edutherapy, Inc.

  • Speech-Language Pathologist
  • Sayville, NY
  • NPI 1811848765
  NPD Authorized official

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1063108546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 SAYVILLE BLVD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822012",
            "telephone_number": "631-935-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 SAYVILLE BLVD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822012",
            "telephone_number": "631-935-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFURO",
        "first_name": "LISA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.sjny.edu/directory/faculty/lisa-tafuro",
            "affiliation": "Y",
            "endpointDescription": "Faculty site",
            "affiliationName": "St. Joseph's University",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "provider information",
            "address_1": "155 W. Roe Blvd",
            "address_2": "1995-1996, Tempe, AZ",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ann Marie Sullivan, M.A.
• Lauren Lynn Sullivan, PHARMD
• Kimberly Michelle Svendsen
• Kenneth Michael Sweeney, RN
• Stephen W Sweeney, RN
• Alfonso Tan, M.D.
• Steven Teplitz, MD
• The PT Spot, P.C
• Thomas J Furci DPM PC
• Jennifer Tietjen, LMSW

• Speech-Language Pathologist in Sayville, NY
• Providers in Sayville, 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 Apr 17, 2023; 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.