Active NPI
Elli Vamvakitis
- Speech-Language Pathologist
- East Quogue, NY
National Provider Identifier
1306248109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 14 Halsey Ave
East Quogue, NY 11942-4302 - Phone
- (631) 275-1211
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
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
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 | Primary |
Addresses
Primary practice location
14 Halsey Ave
East Quogue, NY 11942-4302
Mailing address
14 Halsey Ave
PO Box 76
East Quogue, NY 11942-4302
Phone (631) 275-1211
NPI Registry JSON
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1306248109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HALSEY AVE",
"address_2": "PO BOX 76",
"city": "EAST QUOGUE",
"state": "NY",
"postal_code": "119424302",
"telephone_number": "631-275-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 HALSEY AVE",
"city": "EAST QUOGUE",
"state": "NY",
"postal_code": "119424302",
"telephone_number": "631-275-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAMVAKITIS",
"first_name": "ELLI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Quogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.