NPIMap

Organization Active NPI

North Shore Center for Speech, Language & Swallowing Disorders LLP

  • Early Intervention Provider Agency
  • Garden City, NY
National Provider Identifier
1457595472
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
6885 Issued in NY
Legal business name
NORTH SHORE CENTER FOR SPEECH, LANGUAGE & SWALLOWING DISORDERS LLP
Practice address
585 Stewart Ave
Suite 310
Garden City, NY 11530-4783
Phone
(516) 627-3036
Fax
(516) 627-6741
NPI assigned
Apr 21, 2009
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Ms. Donna N/a Matusiak, SLP
Title
Co - Director
Phone
(516) 627-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 6885 NY Primary

Addresses

Primary practice location

585 Stewart Ave
Suite 310
Garden City, NY 11530-4783

Mailing address

585 Stewart Ave
Suite 310
Garden City, NY 11530-4783
Phone (516) 627-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000561 NY Part B Supplier - Clinic/Group Practice 6103952049 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Westbury, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
North Shore Center for Speech Language Swallowing Disorders LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1457595472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE",
            "address_2": "SUITE 310",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304783",
            "telephone_number": "516-627-3036",
            "fax_number": "516-627-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 STEWART AVE",
            "address_2": "SUITE 310",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304783",
            "telephone_number": "516-627-3036",
            "fax_number": "516-627-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE CENTER FOR SPEECH, LANGUAGE & SWALLOWING DISORDERS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "MATUSIAK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "CO - DIRECTOR",
        "authorized_official_telephone_number": "516-627-3036",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.