Active NPI
Tara Elizabeth Fay, M.A., CCC-SLP
- Speech-Language Pathologist
- East Setauket, NY
National Provider Identifier
1376788026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 017182-1
- Practice address
- 14 Research Way
East Setauket, NY 11733-3453 - Phone
- (631) 331-6400
- NPI assigned
- Dec 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 017182-1 | NY | Primary |
Addresses
Primary practice location
14 Research Way
East Setauket, NY 11733-3453
Mailing address
81 Commodore Cir
Port Jefferson Station, NY 11776-2263
Phone (631) 828-1114
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017182-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228867200000",
"number": "1376788026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 COMMODORE CIR",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762263",
"telephone_number": "631-828-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 RESEARCH WAY",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333453",
"telephone_number": "631-331-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "TARA",
"middle_name": "ELIZABETH",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-10",
"last_updated": "2008-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "017182-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Setauket, NY
- Eye-Q Corporation of America
- Roseann M Falcone, L.M.H.C., C.A.S.A.C.
- Kathryn Brigitte Fassnacht, CPNP
- Linda Marie Fasullo, M.S. CCC/SLP
- Kenneth Michael Faulkner, MS, RN, ANP-BC
- Nicholas Fazio, MD
- Stefanie Claire Fedun, M.S. CCC-SLP, TSSLD
- Edward Feldman, LCSW
- Elissa Feldman, R.D.,C.D.N.,C.D.E
- Deborah Feliciano, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.