Active NPI
Irwin Speech Therapy P.C.
- Speech-Language Pathologist
- Port Washington, NY
National Provider Identifier
1083330484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Brooklyn, NY
- NPI 1902231681
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.