Ava Buck

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

524 E Main St Ste 200
Riverhead, NY 11901-2668

Phone

(631) 538-0579

NPI assigned

May 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Speech Therapy for All PC

  • Speech-Language Pathologist
  • Riverhead, NY
  • NPI 1568085439
  Medicare reassignment NPD

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1134819378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BRAY AVE",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481659",
            "telephone_number": "631-626-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 E MAIN ST STE 200",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012668",
            "telephone_number": "631-538-0579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2949 Fox Chase Ln",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124400",
            "country_code": "US",
            "telephone_number": "804-430-3361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Bray Ave",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "NY",
            "postal_code": "119481659",
            "country_code": "US",
            "telephone_number": "631-626-0827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "AVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-10",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Christine Brown-Mutlu
• Alyssa Brown, LPN
• Kathleen T Brown, A-NP
• Patrice Brown
• Tavonna M Brown, LPN
• William James Buckley, MD
• Katherine Budas, LMSW
• Patricia Anne Buerkle, N.P. CLINICAL NURSE
• Sandy Buleje
• Michael Bunce Jr.

• Speech-Language Pathologist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.