Individual provider Active NPI

John Amato

  • Speech-Language Pathologist
  • Manhasset, NY
National Provider Identifier
1093853830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000087 Issued in NY
Practice address
1165 Northern Blvd
Suite 403
Manhasset, NY 11030-3048
Phone
(516) 627-3036
Fax
(156) 627-6741
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000087 NY Primary

Addresses

Primary practice location

1165 Northern Blvd
Suite 403
Manhasset, NY 11030-3048

Mailing address

1165 Northern Blvd
Manhasset, NY 11030-3048
Phone (516) 627-3036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000813 NY Practitioner - Qualified Speech Language Pathologist 7416083365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
JS Weill Medical College, Cornell University, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Sensory Solutions of Long Island IncGroup PAC ID 9931579851, 2 clinicians

Practice addresses (Care Compare)

196 N Belle Mead Rd
Suite 3
East Setauket, NY 11733-3477
Phone (631) 525-7514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000087NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Speech Pathology Speech-Language Pathologist CurrentSince Mar 5, 2023 Accepting new patients
Sensory Solutions of Long Island, Inc Speech-Language Pathologist CurrentSince Jan 5, 2023 Accepting new patients
Harmony Hearing & Speech Center, LLC CurrentSince Mar 1, 2020 Accepting new patients
North Shore Center for Speech, Language & Swallowing Disorders LLP Past Accepting new patients
North Shore Center for Speech, Language & Swallowing Disorders Speech-Language Pathologist Past Accepting new patients

Locations

196 N Belle Mead Rd
Ste 3
East Setauket, NY 11733
Phone (631) 525-7514

440 Waverly Ave
Ste 12
Patchogue, NY 11772
Phone (631) 730-8653

Interoperability endpoints

  • Direct secure messaging: john.amatoeddmsp.p2@direct.shproviders.nextgenshare.com

Organizations & group practices 5

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093853830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-3036",
            "fax_number": "156-627-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 NORTHERN BLVD",
            "address_2": "SUITE 403",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303048",
            "telephone_number": "516-627-3036",
            "fax_number": "156-627-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.