Organization Active NPI

Sacks SLP P.C.

  • Speech-Language Pathologist
  • Valley Stream, NY
National Provider Identifier
1134894546
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SACKS SLP P.C.
Practice address
723 E Park CT
Valley Stream, NY 11581-3507
Phone
(917) 848-7569
NPI assigned
Aug 9, 2021
Last updated
Aug 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Authorized official

Name
Tzipora Sacks, M.S. CCC-SLP, TSHHNPI 1588817555
Title
President
Phone
(917) 848-7569

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

723 E Park CT
Valley Stream, NY 11581-3507

Mailing address

723 E Park CT
Valley Stream, NY 11581-3507
Phone (917) 848-7569

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1134894546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E PARK CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813507",
            "telephone_number": "917-848-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E PARK CT",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813507",
            "telephone_number": "917-848-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACKS SLP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "SACKS",
        "authorized_official_first_name": "TZIPORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-848-7569",
        "authorized_official_credential": "M.S. CCC-SLP,  TSHH"
    },
    "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 Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.