Carly London Hoffman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

031109 Issued in NY

Practice address

9 Neil Dr
Lake Grove, NY 11755-2608

Phone

(631) 316-1417

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Island Wide Speech

  • Hearing and Speech Clinic/Center
  • Bellmore, NY
  • NPI 1841625936
  Medicare reassignment NPD

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1679185656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NEIL DR",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552608",
            "telephone_number": "631-316-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NEIL DR",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552608",
            "telephone_number": "631-316-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMAN",
        "first_name": "CARLY",
        "middle_name": "LONDON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "031109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Meals Direct, LLC
• Sonja Hecht
• Alvin W Heller, DDS MD
• Robert Steven Henning, DPT
• Andrew Herbst, LMHC
• Christine Holmes
• Rosemarie Hughes, M.S., CCC/SLP
• Jake A Hunter, MD
• Barbara A. Ialacci-Pfeifer, D.C.
• Stephanie Lee Ihriskey

• Speech-Language Pathologist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.