Individual provider Active NPI

Judith E Stein, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Dix Hills, NY
National Provider Identifier
1487935847
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2813 Issued in NY
Practice address
104 Majestic Dr
Dix Hills, NY 11746-4935
Phone
(631) 499-5404
Fax
(631) 462-0621
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2813 NY Primary

Addresses

Primary practice location

104 Majestic Dr
Dix Hills, NY 11746-4935

Mailing address

104 Majestic Dr
Dix Hills, NY 11746-4935
Phone (631) 499-5404

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

LicenseStateTypeSpecialty
2813NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Judith E Stein Speech-Language Pathologist Past Accepting new patients
Dix Hills Speech Pathology & Rehabilitation, PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1487935847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAJESTIC DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464935",
            "telephone_number": "631-499-5404",
            "fax_number": "631-462-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAJESTIC DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117464935",
            "telephone_number": "631-499-5404",
            "fax_number": "631-462-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "JUDITH",
        "middle_name": "E",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.