Active NPI
Sharon Nitzberg, MACCC-SLP
- Speech-Language Pathologist
- Great Neck, NY
National Provider Identifier
1538345640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011081-1
- Practice address
- 10 Ipswich Ave
Great Neck, NY 11021-3207 - Phone
- (516) 857-7609
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 011081-1 | NY | Primary |
Addresses
Primary practice location
10 Ipswich Ave
Great Neck, NY 11021-3207
Mailing address
10 Ipswich Ave
Great Neck, NY 11021-3207
Phone (516) 857-7609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Peninsula Blvd
Lynbrook, NY 11563-3250
Phone (516) 400-6384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011081-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onr National Speech Pathology Inc | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
100 Peninsula Blvd
Lynbrook, NY 11563
Phone (516) 596-2700
Organizations & group practices 1
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": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1538345640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 IPSWICH AVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213207",
"telephone_number": "516-857-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 IPSWICH AVE",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213207",
"telephone_number": "516-857-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITZBERG",
"first_name": "SHARON",
"name_prefix": "Ms.",
"credential": "MACCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011081-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.