Individual provider Active NPI

Talya Nenner, MA

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1548974405
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
032677 Issued in NY
Practice address
3 Grace Ave Ste 119
Great Neck, NY 11021-2400
Phone
(212) 842-0080
Fax
(917) 591-8494
NPI assigned
Jan 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 032677 NY Primary

Addresses

Primary practice location

3 Grace Ave Ste 119
Great Neck, NY 11021-2400

Mailing address

10311 68TH Dr Apt 4J
Forest Hills, NY 11375-3155
Phone (860) 819-4126

Other names 1

  • Talya Lifshutz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230127001834 NY Practitioner - Qualified Speech Language Pathologist 6608247770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Great Neck, NY 11021
Phone (212) 842-0080

1110 2ND Ave
New York, NY 10022-2093

1110 2ND Ave
Suite 302
New York, NY 10022-2007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC Speech-Language Pathologist CurrentSince Aug 8, 2025 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Speech-Language Pathologist CurrentSince Dec 1, 2022 Accepting new patients

Locations

805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874

800 E Gate Blvd
Garden City, NY 11530

3 Grace Ave
Ste 119
Great Neck, NY 11021
Phone (212) 842-0080

50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545

1110 2nd Ave
Rm 302
New York, NY 10022
Phone (212) 842-0080

11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300

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": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1548974405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 68TH DR APT 4J",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753155",
            "telephone_number": "860-819-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GRACE AVE STE 119",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212400",
            "telephone_number": "212-842-0080",
            "fax_number": "917-591-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENNER",
        "first_name": "TALYA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALYA",
            "last_name": "LIFSHUTZ",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Nov 17, 2025; 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.