Active NPI
Elynne Marie Kane, MA, CCC, SLP
- Speech-Language Pathologist
- Central Islip, NY
National Provider Identifier
1477839090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003377-1
- Practice address
- 85 Wheeler Rd
Central Islip, NY 11722-2018 - Phone
- (631) 348-5079
- NPI assigned
- Oct 27, 2011
- 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 | 003377-1 | NY | Primary |
Addresses
Primary practice location
85 Wheeler Rd
Central Islip, NY 11722-2018
Mailing address
781 Tanglewood Rd
West Islip, NY 11795-3525
Phone (631) 422-5331
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 |
|---|---|---|---|
| 003377-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1477839090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "781 TANGLEWOOD RD",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117953525",
"telephone_number": "631-422-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WHEELER RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222018",
"telephone_number": "631-348-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "ELYNNE",
"middle_name": "MARIE",
"credential": "MA, CCC, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003377-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.