Nassau Suffolk Services for the Autistic

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NASSAU SUFFOLK SERVICES FOR THE AUTISTIC

Practice address

80 Hauppauge Rd
Commack, NY 11725-4403

Phone

(631) 462-0386

Fax

(631) 462-4201

NPI assigned

Nov 20, 2008

Organization subpart

No

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

Authorized official

Name

Nicole Weidenbaum

Title

Executive Director

Phone

(631) 462-0386

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Stacey Agosta, MS ED, BCBA

  • Specialist
  • Commack, NY
  • NPI 1740541465
  NPD (past)
• Jayne Patrice Eaton-Bove, MS

  • School Psychologist
  • Commack, NY
  • NPI 1861753113
  NPD (past)

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1568617389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAUPPAUGE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254403",
            "telephone_number": "631-462-0386",
            "fax_number": "631-462-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAUPPAUGE RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254403",
            "telephone_number": "631-462-0386",
            "fax_number": "631-462-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU SUFFOLK SERVICES FOR THE AUTISTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "WEIDENBAUM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-462-0386"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Muniz Jr., OTR L
• Solangel Muniz
• Sandra Anne Murtha, M.A. CCC SLP
• My Wellness Medical PLLC
• Nassau Suffolk Podiatry Associates
• Alexandra Nastasi
• Brianne Navetta-Modrov, MD
• Bhaskar C Nayak
• Brianna Lee Neglia
• Elisa B Nelson, DDS

• Early Intervention Provider Agency in Commack, NY
• Providers in Commack, 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 Nov 20, 2008; 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.