Individual provider Active NPI

Elizabeth Irene Roarke, M.S. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1063719201
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019486-1 Issued in NY
Practice address
3623 Avenue L
Brooklyn, NY 11210-5445
Phone
(718) 531-1800
Fax
(718) 677-4840
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019486-1 NY Primary

Addresses

Primary practice location

3623 Avenue L
Brooklyn, NY 11210-5445

Mailing address

314 E Penn St
Long Beach, NY 11561-4332
Phone (631) 275-1853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160916001684 NY Practitioner - Qualified Speech Language Pathologist 7214224328 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
Group practices
Center for Hearing and CommunicationGroup PAC ID 7911803317, 16 clinicians

Practice addresses (Care Compare)

50 Broadway
FL 6
New York, NY 10004-3810
Phone (917) 305-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019486NYMDOccupational Therapist
019486-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing and Communication Speech-Language Pathologist CurrentSince Jun 25, 2016 Accepting new patients
Center for Hearing and Communication CurrentSince Jun 25, 2016 Accepting new patients

Locations

50 Broadway
Fl 6
New York, NY 10004
Phone (917) 305-7700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1063719201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E PENN ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614332",
            "telephone_number": "631-275-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105445",
            "telephone_number": "718-531-1800",
            "fax_number": "718-677-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARKE",
        "first_name": "ELIZABETH",
        "middle_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019486-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.