Active NPI
Sara Klatman, MS CCC-SLP, TSSLD
- Speech-Language Pathologist
- North Bellmore, NY
National Provider Identifier
1174049605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 027963
- Practice address
- 2351 Jerusalem Ave
North Bellmore, NY 11710-1822 - Phone
- (516) 680-1521
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 027963 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2351 Jerusalem Ave
North Bellmore, NY 11710-1822
Mailing address
48 Wiltshire Dr
Commack, NY 11725-3333
Other practice location 1
125 E Bethpage Rd Ste 5
Plainview, NY 11803-4228
Phone (516) 731-5588 ext. 237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03858055 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027963 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1174049605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 WILTSHIRE DR",
"city": "COMMACK",
"state": "NY",
"postal_code": "117253333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 JERUSALEM AVE",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117101822",
"telephone_number": "516-680-1521"
}
],
"practiceLocations": [
{
"address_1": "125 E Bethpage Rd Ste 5",
"address_purpose": "LOCATION",
"city": "Plainview",
"state": "NY",
"postal_code": "118034228",
"country_code": "US",
"telephone_number": "516-731-5588 x237",
"fax_number": "516-577-9601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLATMAN",
"first_name": "SARA",
"credential": "MS CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027963",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03858055",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.