Long Beach Speech Language Pathology

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

007 378-1 Issued in NY

Legal business name

LONG BEACH SPEECH LANGUAGE PATHOLOGY

Practice address

270 Shore Rd.
Apt. 30
Long Beach, NY 11561-4263

Phone

(516) 889-4691

NPI assigned

Nov 9, 2015

Last updated

Nov 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. D Susan Groark, MA

Title

Speech-Language Pathologist

Phone

(516) 889-4691

Specialties & licenses 2

Addresses

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.

• Deborah S. Groark, MA,CCC/SLP

  • Speech-Language Pathologist
  • Long Beach, NY
  • NPI 1205081668
  NPD (past)

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1376916676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SHORE RD.",
            "address_2": "APT. 30",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614263",
            "telephone_number": "516-889-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 SHORE RD.",
            "address_2": "APT. 30",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614263",
            "telephone_number": "516-889-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH SPEECH LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "GROARK",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-889-4691",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "007 378-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "007 378-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Beach Public Schools
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• Long Beach Reach Inc.
• Long Beach Rheumatology, PC
• Long Beach Surgical Supply Company
• Long Beach Vascular Gen Sur
• Long Island Psychiatric Associates PC
• Andrea Longo, MS, CCC-SLP, TSHH
• Lori Loscalzo, RPH

• Early Intervention Provider Agency in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.