Individual provider Active NPI

Sharon Nitzberg, MACCC-SLP

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1538345640
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011081-1 Issued in NY
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

Updated by the provider on Jan 18, 2008

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 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

Enrollment IDStateProvider typePAC IDDetails
I20230125003525 NY Practitioner - Qualified Speech Language Pathologist 9335510593 Reassigns benefits to 1 organization

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
Onr National Speech Pathology IncGroup PAC ID 2668463522, 61 clinicians

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

LicenseStateTypeSpecialty
011081-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onr National Speech Pathology Inc CurrentSince Jul 1, 2025 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.

Verify at the official NPI Registry.