Organization Active NPI

Allied Speech-Language Therapy, P.C.

  • Case Management Agency
  • Farmingdale, NY
National Provider Identifier
1366550501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0038341 Issued in NY
Legal business name
ALLIED SPEECH-LANGUAGE THERAPY, P.C.
Practice address
399 Conklin St Ste 201
Farmingdale, NY 11735-2614
Phone
(516) 249-5477
Fax
(516) 777-2821
NPI assigned
Aug 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Domingo, PH.D.NPI 1477629558
Title
President
Phone
(516) 249-5477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0038341 NY Primary

Addresses

Primary practice location

399 Conklin St Ste 201
Farmingdale, NY 11735-2614

Mailing address

399 Conklin St Ste 201
Farmingdale, NY 11735-2614
Phone (516) 249-5477

National Provider Directory

National Provider Directory
Tax ID family
Allied Speech-Language Therapy PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

399 Conklin St
Ste 201
Farmingdale, NY 11735
Phone (516) 249-5477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366550501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 CONKLIN ST STE 201",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352614",
            "telephone_number": "516-249-5477",
            "fax_number": "516-777-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CONKLIN ST STE 201",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117352614",
            "telephone_number": "516-249-5477",
            "fax_number": "516-777-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SPEECH-LANGUAGE THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-249-5477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "0038341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.