NPIMap

Organization Active NPI

Mid Suffolk Speech Pathology & Swallowing Disorder Services of L.I., P

  • Speech-Language Pathologist
  • Commack, NY
National Provider Identifier
1437832920
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MID SUFFOLK SPEECH PATHOLOGY & SWALLOWING DISORDER SERVICES OF L.I., P
Practice address
283 Commack Rd Ste 303
Commack, NY 11725-3400
Phone
(631) 689-6858
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Janine StieneNPI 1801971502
Title
President
Phone
(631) 689-6858

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 Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

283 Commack Rd Ste 303
Commack, NY 11725-3400

Mailing address

10 Sean LN
Mount Sinai, NY 11766-1847
Phone (631) 278-7450

National Provider Directory

National Provider Directory

Locations

283 Commack Rd
Ste 303
Commack, NY 11725
Phone (631) 493-5859

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1437832920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SEAN LN",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661847",
            "telephone_number": "631-278-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD STE 303",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253400",
            "telephone_number": "631-689-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID SUFFOLK SPEECH PATHOLOGY & SWALLOWING DISORDER SERVICES OF L.I., P",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "STIENE",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-689-6858"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.