Katrina Alexandra Plotkin, M.S., CF-SLP, TSSLD

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

1 Brandywine Dr
Deer Park, NY 11729-5721

Phone

(631) 392-0081

NPI assigned

Jun 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Therapies of Suffolk, LLP

  • Speech-Language Pathologist
  • Deer Park, NY
  • NPI 1770624991
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1346867017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRANDYWINE DR",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295721",
            "telephone_number": "631-392-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRANDYWINE DR",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295721",
            "telephone_number": "631-392-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTKIN",
        "first_name": "KATRINA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Miss",
        "credential": "M.S., CF-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Marie Pillitteri, PA-C
• Mark Christopher Pillitteri, DO
• Amy Pirreca
• Josephine Pizzurro, RN MS PNP
• Megan Leigh Plante
• Dawn M Plumitallo, PHD
• PM Dental Services PC
• Annmarie Poli, LPN
• Gerard A Polito I, LCSW-R
• Matthew John Porcaro

• Speech-Language Assistant in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Speech-Language Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.