Eastern Suffolk Speech and Language Pathology PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

008637-1 Issued in NY

Legal business name

EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC

Practice address

4 Montauk Hwy
Westhampton, NY 11977-1235

Phone

(631) 998-0368

Fax

(631) 878-1722

NPI assigned

May 4, 2010

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Blangiforti, M.S. CCC-SLPNPI 1285780163

Title

Owner/Director

Phone

(631) 998-0368

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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.

• Theresa Blangiforti, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Manorville, NY
  • NPI 1285780163
  NPD Authorized official
• Alexander Vincent Benevento, MS

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1154006153
  NPD
• Lluna Skky Katz, MA, CF-SLP TSSLD

  • Speech-Language Pathologist
  • Westhampton, NY
  • NPI 1124906813
  NPD
• Gabrielle Jean

  • Speech-Language Pathologist
  • Westhampton, NY
  • NPI 1336073758
  NPD (past)

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1497072219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MONTAUK HWY",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "119771235",
            "telephone_number": "631-998-0368",
            "fax_number": "631-878-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MONTAUK HWY",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "119771235",
            "telephone_number": "631-998-0368",
            "fax_number": "631-878-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SUFFOLK SPEECH AND LANGUAGE PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BLANGIFORTI",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "631-998-0368",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008637-1",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "008637-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olaf Butchma, DO
• Kelly A Clifford
• Dana Geller DPT PLLC (Bounce Back east physical therapy)
• Lianna Feliz Dulfon, MA-CCC/SLP TSSLD
• East End Healthcare Inc (Westhampton Care Center)
• Denise Ann Elias, P.T.
• Denise Abrams Equinda, MS ED
• Eric Christensen, DDS PC
• Amy L Farnan, MS, PT
• Serafina Gohar, PTA, CBIS

• Early Intervention Provider Agency in Westhampton, NY
• Providers in Westhampton, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.