Organization Active NPI

Irwin Speech Therapy P.C.

  • Speech-Language Pathologist
  • Port Washington, NY
National Provider Identifier
1083330484
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
IRWIN SPEECH THERAPY P.C.
Practice address
191 Main St Ste 511
Port Washington, NY 11050-3242
Phone
(347) 461-6758
NPI assigned
Oct 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Mr. Mitchell J Irwin
Title
Speech Language Pathologist
Phone
(347) 461-6758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

191 Main St Ste 511
Port Washington, NY 11050-3242

Mailing address

191 Main St Ste 511
Port Washington, NY 11050-3242
Phone (347) 461-6758

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1083330484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MAIN ST STE 511",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503242",
            "telephone_number": "347-461-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST STE 511",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503242",
            "telephone_number": "347-461-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRWIN SPEECH THERAPY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "IRWIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-461-6758",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.