Sensory Solutions of Long Island, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SENSORY SOLUTIONS OF LONG ISLAND, INC

Practice address

5225 Nesconset Hwy
Buidling# 3, Suite 11&12
Port Jefferson Station, NY 11776-2054

Phone

(631) 525-7514

NPI assigned

Jan 22, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Regina Provisiero, MA-CCC-SLPNPI 1457596207

Title

Owner

Phone

(631) 525-7514

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Ann Provisiero, MA/CCC/SLP

  • Speech-Language Pathologist
  • Port Jefferson, NY
  • NPI 1457596207
  Medicare reassignment Care Compare group NPD Authorized official
• John Amato

  • Speech-Language Pathologist
  • Manhasset, NY
  • NPI 1093853830
  Medicare reassignment Care Compare group NPD
• Jason Eduardo Fernandes

  • Speech-Language Pathologist
  • East Setauket, NY
  • NPI 1215637988
  NPD (past)
• Samantha Rebecca, OTR/L

  • Occupational Therapist
  • Port Jefferson Station, NY
  • NPI 1043861107
  NPD (past)

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1700340973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JOES WAY",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117201932",
            "telephone_number": "631-525-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 NESCONSET HWY",
            "address_2": "BUIDLING# 3, SUITE 11&12",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762054",
            "telephone_number": "631-525-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENSORY SOLUTIONS OF LONG ISLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "PROVISIERO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-525-7514",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Scudero
• Sea Medical Wellness PC
• Diane Odessa Seaman, LCSW, BCD
• James A Seitz, LCSW
• Sumiko Lorena Seki, LMT
• Kenneth Robert Sergiacomi, L.M.S.W.
• Ronika Sethi, DPM
• Maria T Sgroi, SLP
• Orli Shalouh I
• Susan B Shanahan, RN

• Speech-Language Pathologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Jan 22, 2019; 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.