Individual provider Active NPI

Steven M Asofsky, M.A.

  • Speech-Language Pathologist
  • Babylon, NY
National Provider Identifier
1629117296
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008483-1 Issued in NY
Practice address
400 W Main St
Babylon, NY 11702-3012
Phone
(631) 669-7098
Fax
(631) 669-3736
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 008483-1 NY Primary

Addresses

Primary practice location

400 W Main St
Babylon, NY 11702-3012

Mailing address

400 Montauk Hwy
Ste 152
Babylon, NY 11702-3009
Phone (631) 665-9168

Other identifiers 9

IdentifierTypeStateIssuer
7320196OtherNYAETNA PPO #
AZ00870OtherNYMDNY PROVIDER #
91990OtherNYVYTRA ID
4999952OtherNYGHI PROVIDER #
8953776001OtherNYCIGNA PROVIDER #
2462650OtherNYAETNA HMO #
M10931OtherNYBLUE CROSS ID#
20318POtherNYHIP ID#
P2128236OtherNYOXFORD PIN #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091123000528 NY Practitioner - Qualified Speech Language Pathologist 8325187867 Reassigns benefits to 2 organizations

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
Long Island Select Healthcare, IncGroup PAC ID 5991086225, 29 clinicians

Practice addresses (Care Compare)

250 Marcus Blvd
Hauppauge, NY 11788-2018
Phone (631) 650-2510

400 Montauk Hwy
Suite 152
Babylon, NY 11702-3009
Phone (631) 669-7098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008483-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Select Healthcare, Inc. CurrentSince Sep 21, 2016 Accepting new patients
South Shore Speech Language and Swallowing Disorders PLLC Speech-Language Pathologist CurrentSince Oct 12, 2009 Accepting new patients
South Shore Center for Speech, Language and Swallowing Disorders, LLP PastSince Oct 12, 2009 Accepting new patients

Locations

400 W Montauk Hwy
Ste 152
Babylon, NY 11702
Phone (631) 669-7098

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

250 Marcus Blvd
Hauppauge, NY 11788
Phone (631) 439-4300

221 N Sunrise Service Rd
Manorville, NY 11949
Phone (631) 650-2510

883 E Main St
Riverhead, NY 11901
Phone (631) 284-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 3

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1629117296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MONTAUK HWY",
            "address_2": "STE 152",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-665-9168",
            "fax_number": "631-665-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023012",
            "telephone_number": "631-669-7098",
            "fax_number": "631-669-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASOFSKY",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008483-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO #",
            "identifier": "7320196",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY PROVIDER #",
            "identifier": "AZ00870",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID",
            "identifier": "91990",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER #",
            "identifier": "4999952",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "8953776001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO #",
            "identifier": "2462650",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID#",
            "identifier": "M10931",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP ID#",
            "identifier": "20318P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN #",
            "identifier": "P2128236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.