Organization Active NPI

Lilypad Speech & Language Therapy, PLLC

  • Early Intervention Provider Agency
  • Lynbrook, NY
National Provider Identifier
1700752623
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LILYPAD SPEECH & LANGUAGE THERAPY, PLLC
Practice address
10 Union Ave Ste 4
Lynbrook, NY 11563-3350
Phone
(240) 715-5441
Fax
(240) 715-5441
NPI assigned
Oct 16, 2025
Organization subpart
Yes
Parent organization
LILYPAD SPEECH & LANGUAGE THERAPY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Mrs. Lily Pearl Goldberg, MS CCC SLPNPI 1164977450
Title
Early Intervention Director
Phone
(240) 715-5441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

10 Union Ave Ste 4
Lynbrook, NY 11563-3350

Mailing address

10 Union Ave Ste 4
Lynbrook, NY 11563-3350
Phone (240) 715-5441

National Provider Directory

National Provider Directory
Tax ID family
Lilypad Speech Language Therapy PLLC2 organizations share this tax ID, including this one
Part of
Lilypad Speech Language Therapy PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Union Ave
Ste 4
Lynbrook, NY 11563
Phone (240) 715-5441

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1700752623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 UNION AVE STE 4",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633350",
            "telephone_number": "240-715-5441",
            "fax_number": "240-715-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION AVE STE 4",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633350",
            "telephone_number": "240-715-5441",
            "fax_number": "240-715-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILYPAD SPEECH & LANGUAGE THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LILYPAD SPEECH & LANGUAGE THERAPY, PLLC",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "EARLY INTERVENTION DIRECTOR",
        "authorized_official_telephone_number": "240-715-5441",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.