Active NPI
Eileen Stathis, MA
- Speech-Language Pathologist
- Rockaway Beach, NY
National Provider Identifier
1326347345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005006-1
- Practice address
- 153 Beach 134 Street
Rockaway Beach, NY 11694 - Phone
- (718) 945-3059
- NPI assigned
- Mar 16, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005006-1 | NY | Primary |
Addresses
Primary practice location
153 Beach 134 Street
Rockaway Beach, NY 11694
Mailing address
153 Beach 134 Street
Rockaway Beach, NY 11694
Phone (718) 945-3059
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005006-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1326347345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 BEACH 134 STREET",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "11694",
"telephone_number": "718-945-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 BEACH 134 STREET",
"city": "ROCKAWAY BEACH",
"state": "NY",
"postal_code": "11694",
"telephone_number": "718-945-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATHIS",
"first_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-16",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "005006-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway Beach, NY
- Lakeisha Denise Smalls
- Lauren Smith, CCC-SLP
- SMK Pharmacy Corp
- SMK Pharmacy Corp (Natures First Long Term Care and Compounding)
- Spectrum Occupational Therapy, PC
- Hillel Yeuda Stein, D.D.S.
- Michelle Ann Stein, LMSW
- Tzvi Stein, DDS
- Summer River Inc Complete Medical (Complete Medical Products)
- Sunny Health Acupuncture PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.