Eileen Laide Speech Language Pathologist PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

011054 Issued in NY

Legal business name

EILEEN LAIDE SPEECH LANGUAGE PATHOLOGIST PLLC

Practice address

212 Beach 133Rd St
Belle Harbor, NY 11694-1436

Phone

(718) 318-0306

Fax

(718) 945-0167

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Eileen Marie Laide, MS CCC SLP

Title

SLP

Phone

(718) 318-0306

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Thomas Patrick Ayrovainen, MS,OTR/L

  • Pediatric Occupational Therapist
  • Belle Harbor, NY
  • NPI 1891949103
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1114212545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BEACH 133RD ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941436",
            "telephone_number": "718-318-0306",
            "fax_number": "718-945-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BEACH 133RD ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941436",
            "telephone_number": "718-318-0306",
            "fax_number": "718-945-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN LAIDE SPEECH LANGUAGE PATHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "LAIDE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "718-318-0306",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "011054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811137920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepak Vasishtha Physician PC
• Melanie E Delacruz, COTA
• Brooke Demarco
• Kathleen Diffendale, RN
• Shannon Taylor Dinerman
• Howard Eisenberg, P.T.
• Camryn Grace Fabrizio, RN
• Nancy Fash, OTR/L
• Victoria M Filippi Backus, F.N.P.
• Lynne Fitzgerald O'Donnell, L.C.S.W.

• Early Intervention Provider Agency in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.