Organization Active NPI

Li Speech Therapy of South Shore

  • Speech-Language Pathologist
  • Islip Terrace, NY
National Provider Identifier
1336757921
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LI SPEECH THERAPY OF SOUTH SHORE
Practice address
2915 Sunrise Hwy
Islip Terrace, NY 11752-2716
Phone
(631) 689-6858
NPI assigned
Jul 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janine Stiene, MA CCC-SLP
Title
Speech Language Patholoist
Phone
(631) 689-6858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2915 Sunrise Hwy
Islip Terrace, NY 11752-2716

Mailing address

213 Hallock Rd Ste 6
Stony Brook, NY 11790-3000
Phone (631) 689-6858

National Provider Directory

National Provider Directory

Locations

201 Montauk Hwy
Ste 6
Westhampton Beach, NY 11978

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1336757921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD STE 6",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-689-6858",
            "fax_number": "631-751-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 SUNRISE HWY",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522716",
            "telephone_number": "631-689-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI SPEECH THERAPY OF SOUTH SHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "STIENE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOIST",
        "authorized_official_telephone_number": "631-689-6858",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip Terrace, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.