Austin Joseph Mizerak I

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

P138190 Issued in NY

Practice address

2330 Union Blvd
Islip, NY 11751-3172

Phone

(631) 377-7000

NPI assigned

Sep 5, 2025

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Theralympic Speech Therapy PLLC

  • Early Intervention Provider Agency
  • Ronkonkoma, NY
  • NPI 1730665043

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154201523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 UNION BLVD",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UNION BLVD",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513172",
            "telephone_number": "631-377-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 Hawkins Ave",
            "address_purpose": "LOCATION",
            "city": "Ronkonkoma",
            "state": "NY",
            "postal_code": "117792375",
            "country_code": "US",
            "telephone_number": "631-240-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZERAK",
        "first_name": "AUSTIN",
        "middle_name": "JOSEPH",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "P138190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Stockman Adult Care NP PC
• Jaclyn Melnick
• Michol Negron DO PLLC
• Harvey J Miller, M.D.
• Samantha Mize
• Danielle Modica
• Matyshala Monestime
• Amy Elizabeth Montalto, LMT
• Samantha Monteleone
• Stephanie Janessa Moran, M.A CCC-SLP TSSLD/BE

• Occupational Therapist in Islip, NY
• Providers in Islip, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.