Active NPI
Michael Aaron Kulesa, SLP
- Speech-Language Pathologist
- Babylon, NY
National Provider Identifier
1134481237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 400 Montauk Hwy
Suite 152
Babylon, NY 11702-3012 - Phone
- (631) 669-7098
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
400 Montauk Hwy
Suite 152
Babylon, NY 11702-3012
Mailing address
3351 Spruce St
Mohegan Lake, NY 10547-1449
Phone (914) 815-3120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3820 Bowne St
Flushing, NY 11354-5638
Phone (877) 407-3422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tailored Speech Therapy PLLC | Speech-Language Pathologist | Current | Accepting new patients |
| Fox Rehabilitation Physical Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| South Shore Center for Speech, Language and Swallowing Disorders, LLP | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
430 North St
White Plains, NY 10605
Phone (914) 761-3885
Organizations & group practices 3
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.
-
- Physical Therapist
- New York, NY
- NPI 1174560650
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Astoria, NY
- NPI 1518890920
-
- Early Intervention Provider Agency
- Babylon, NY
- NPI 1255579785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1134481237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 SPRUCE ST",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471449",
"telephone_number": "914-815-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MONTAUK HWY",
"address_2": "SUITE 152",
"city": "BABYLON",
"state": "NY",
"postal_code": "117023012",
"telephone_number": "631-669-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULESA",
"first_name": "MICHAEL",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.