NPIMap

Organization Active NPI

Long Island Stuttering & Speech Pathology, PLLC

  • Speech-Language Pathologist
  • East Northport, NY
National Provider Identifier
1417370396
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004862 Issued in NY
Legal business name
LONG ISLAND STUTTERING & SPEECH PATHOLOGY, PLLC
Practice address
1023 Pulaski Rd
East Northport, NY 11731-1948
Phone
(631) 261-7740
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mrs. Susan M. Newton, M.S.,CCC-SLPNPI 1801921374
Title
Speech Pathologist, Owner
Phone
(631) 261-7740

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 004862 NY Primary

Addresses

Primary practice location

1023 Pulaski Rd
East Northport, NY 11731-1948

Mailing address

1023 Pulaski Rd
East Northport, NY 11731-1948
Phone (631) 261-7740

Other identifiers 1

IdentifierTypeStateIssuer
02954781MedicaidNY

Other names 1

  • Susan M. Newton Other name

National Provider Directory

National Provider Directory

Locations

1023 Pulaski Rd
East Northport, NY 11731
Phone (631) 261-2880

Practitioners & affiliated clinicians

Practitioners 7

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": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1417370396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 PULASKI RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311948",
            "telephone_number": "631-261-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 PULASKI RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311948",
            "telephone_number": "631-261-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND STUTTERING & SPEECH PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "631-261-7740",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02954781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan M. Newton",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.