Organization Active NPI

North Shore Speech-Language Pathology, P.C

  • Speech-Language Pathologist
  • Syosset, NY
National Provider Identifier
1366739450
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
007670-1 Issued in NY
Legal business name
NORTH SHORE SPEECH-LANGUAGE PATHOLOGY, P.C
Practice address
38 S Oyster Bay Rd
Syosset, NY 11791-5033
Phone
(631) 258-0489
NPI assigned
Jul 8, 2011
Last updated
Jul 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Jeanne HynesNPI 1720233919
Title
President
Phone
(631) 258-0489

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
Speech-Language Pathologist 235Z00000X 007670-1 NY Primary

Addresses

Primary practice location

38 S Oyster Bay Rd
Syosset, NY 11791-5033

Mailing address

7 Soundcrest LN
Lloyd Harbor, NY 11743-9790
Phone (631) 258-0489

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, 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": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1366739450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUNDCREST LN",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117439790",
            "telephone_number": "631-258-0489",
            "fax_number": "516-496-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 S OYSTER BAY RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915033",
            "telephone_number": "631-258-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SPEECH-LANGUAGE PATHOLOGY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-258-0489"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "007670-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.