Individual provider Active NPI

Steven Rossi

  • Speech-Language Pathologist
  • Riverhead, NY
National Provider Identifier
1063664126
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017971 Issued in NY
Practice address
524 E Main St Ste 200
Riverhead, NY 11901-2668
Phone
(631) 538-0579
Fax
(631) 881-4413
NPI assigned
Oct 21, 2008
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202009605 VA
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 017971 NY Primary

Addresses

Primary practice location

524 E Main St Ste 200
Riverhead, NY 11901-2668

Mailing address

15 Thunder Rd
Holbrook, NY 11741-4423
Phone (631) 868-3625

Other practice location 1

4820 W Taft Rd Ste 202
Liverpool, NY 13088-2806
Phone (315) 552-0406

Other practice location 2

2949 Fox Chase Ln
Midlothian, VA 23112-4400
Phone (315) 552-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090812000784 NY Practitioner - Qualified Speech Language Pathologist 8224182092 Reassigns benefits to 2 organizations
I20240710002133 VA Practitioner - Qualified Speech Language Pathologist 8224182092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Speech Therapy for All PCGroup PAC ID 3779993043, 3 clinicians

Practice addresses (Care Compare)

2949 Fox Chase LN
Midlothian, VA 23112-4400
Phone (631) 538-0579

524 E Main St
Suite 200
Riverhead, NY 11901-2668
Phone (631) 538-0579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2202009605VAMDSpeech-Language Pathologist
017971NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy for All PC Speech-Language Pathologist CurrentSince Jun 1, 2020 Accepting new patients
Lifespan Speech and Swallowing Services Speech-Language Pathologist CurrentSince Mar 5, 2024 Accepting new patients
Thunder Hearing Services LLC PastSince Jun 15, 2019 Accepting new patients

Locations

1491 Broadway Ave
Holbrook, NY 11741
Phone (631) 588-0400

1491 Broadway Ave
Unit B
Holbrook, NY 11741
Phone (631) 737-3838

4820 W Taft Rd
Ste 202
Liverpool, NY 13088
Phone (315) 457-7290

30 W Main St
Ste 301
Riverhead, NY 11901
Phone (516) 906-5339

524 E Main St
Ste 200
Riverhead, NY 11901
Phone (631) 369-3115

450 William Floyd Pkwy
Ste B
Shirley, NY 11967
Phone (631) 830-4296

325 Meeting House Ln
Southampton, NY 11968
Phone (631) 283-7733

325 Meeting House Ln
Bldg 1
Southampton, NY 11968
Phone (631) 204-0202

2949 Fox Chase Ln
Midlothian, VA 23112
Phone (315) 552-0406

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1063664126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 THUNDER RD",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414423",
            "telephone_number": "631-868-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST STE 200",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012668",
            "telephone_number": "631-538-0579",
            "fax_number": "631-881-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4820 W Taft Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130882806",
            "country_code": "US",
            "telephone_number": "315-552-0406",
            "fax_number": "315-634-6230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2949 Fox Chase Ln",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124400",
            "country_code": "US",
            "telephone_number": "315-552-0406",
            "fax_number": "315-634-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSI",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009605",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.