Organization Active NPI

Nassau - Suffolk Speech Therapy Services PC

  • Speech-Language Pathologist
  • Islip Terrace, NY
National Provider Identifier
1366053100
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NASSAU - SUFFOLK SPEECH THERAPY SERVICES PC
Practice address
2915 Sunrise Hwy
Islip Terrace, NY 11752-2716
Phone
(631) 675-1065
Fax
(631) 675-1069
NPI assigned
Aug 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Toni-Ann Antoniato, M.S CCC SLPNPI 1942566344
Title
Provider
Phone
(631) 675-1065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

2915 Sunrise Hwy
Islip Terrace, NY 11752-2716
Phone (631) 675-1065

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1366053100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 SUNRISE HWY",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522716",
            "telephone_number": "631-675-1065",
            "fax_number": "631-675-1069"
        },
        {
            "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": "631-675-1065",
            "fax_number": "631-675-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU - SUFFOLK SPEECH THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "ANTONIATO",
        "authorized_official_first_name": "TONI-ANN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "631-675-1065",
        "authorized_official_credential": "M.S 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 Aug 14, 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.