Active NPI
Kenneth John Grau, MS CCC SLP
- Speech-Language Pathologist
- Bohemia, NY
National Provider Identifier
1356518484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0159361
- Practice address
- 45 Crossways East Rd
Saul &Elainne Seiff Educare Center
Bohemia, NY 11716 - Phone
- (631) 218-4949
- NPI assigned
- May 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 0159361 | NY | Primary |
Addresses
Primary practice location
45 Crossways East Rd
Saul &Elainne Seiff Educare Center
Bohemia, NY 11716
Mailing address
81 Moriches Middle Island Rd
Shirley, NY 11967-1214
Phone (516) 380-4540
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0159361 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1356518484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MORICHES MIDDLE ISLAND RD",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119671214",
"telephone_number": "516-380-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CROSSWAYS EAST RD",
"address_2": "SAUL &ELAINNE SEIFF EDUCARE CENTER",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "11716",
"telephone_number": "631-218-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAU",
"first_name": "KENNETH",
"middle_name": "JOHN",
"credential": "MS CCC SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-08",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "0159361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.