Individual provider Active NPI

Elaine M Nihen, M.S. CCC- SLP

  • Speech-Language Pathologist
  • West Islip, NY
National Provider Identifier
1154576833
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019138 Issued in NY
Practice address
560 Union Blvd
Out Patient Rehabilitation
West Islip, NY 11795
Phone
(631) 474-6111
NPI assigned
Nov 23, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 019138 NY Primary

Addresses

Primary practice location

560 Union Blvd
Out Patient Rehabilitation
West Islip, NY 11795

Mailing address

6 Tween CT
Saint James, NY 11780-1614
Phone (631) 366-2087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
019138NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1154576833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TWEEN CT",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801614",
            "telephone_number": "631-366-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 UNION BLVD",
            "address_2": "OUT PATIENT REHABILITATION",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "11795",
            "telephone_number": "631-474-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIHEN",
        "first_name": "ELAINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-23",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.