Active NPI
Laura Melissa Glass, SLP
- Speech-Language Pathologist
- Farmingdale, NY
National Provider Identifier
1154760189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1415942
- Practice address
- 399 Conklin St
Suite 303
Farmingdale, NY 11735-2614 - Phone
- (516) 249-5477
- NPI assigned
- Jun 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 1415942 | NY | Primary |
Addresses
Primary practice location
399 Conklin St
Suite 303
Farmingdale, NY 11735-2614
Mailing address
31 Azalea Dr
Syosset, NY 11791-2804
Phone (516) 587-7006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023313 | NY | MD | Physical Therapist |
| 1415942 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Allied Speech-Language Therapy, P.C. | Past | Accepting new patients |
Locations
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
2201 Hempstead Tpke
Fl 19
East Meadow, NY 11554
Phone (516) 486-6862
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1902822992
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1003832098
-
- General Acute Care Hospital
- East Meadow, NY
- NPI 1730530940
-
- Home Health Agency
- Farmingdale, NY
- NPI 1720311749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1154760189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 AZALEA DR",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117912804",
"telephone_number": "516-587-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 CONKLIN ST",
"address_2": "SUITE 303",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117352614",
"telephone_number": "516-249-5477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "LAURA",
"middle_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-24",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "1415942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.