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Long Island University

Organization Active NPI Speech-Language Pathologist · Brookville, NY

NPI 1235385170 · NPPES record last updated May 4, 2021

Key facts

NPI
1235385170
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
000583-1 (NY)
Legal business name
LONG ISLAND UNIVERSITY
Practice address
720 Northern Boulevard
Brookville, NY 11548-1300
Phone
(516) 299-2437
Fax
(516) 299-3151
NPI assigned
Aug 12, 2008
Organization subpart
No

Authorized official

Name
Dr. Joyce Ann Rubenstein, PHD
Title
Clinic Director
Phone
(516) 299-2437

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210817002276 NY Part B Supplier - Clinic/Group Practice 0143496026 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Brooklyn, NY; Brookville, NY

National Provider Directory

Tax ID family
Downtown Brooklyn Speech and Hearing Clinic (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 231H00000X 000428-1 NY
Speech-Language Pathologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 235Z00000X 000583-1 NY Yes
Audiologist-Hearing Aid Fitter
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 237600000X 14000009506 NY

Addresses

Primary practice location

720 Northern Boulevard
Brookville, NY 11548-1300

Mailing address

720 Northern Boulevard
Brookville, NY 11548-1300
Phone (516) 299-2437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 4, 2021.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1235385170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 NORTHERN BOULEVARD",
            "city": "BROOKVILLE",
            "state": "NY",
            "postal_code": "115481300",
            "telephone_number": "516-299-2437",
            "fax_number": "516-299-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 NORTHERN BOULEVARD",
            "city": "BROOKVILLE",
            "state": "NY",
            "postal_code": "115481300",
            "telephone_number": "516-299-2437",
            "fax_number": "516-299-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "516-299-2437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "000428-1",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000583-1",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "14000009506",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, NY

All providers in Brookville, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.