Mira Siperstein, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010648 Issued in NY

Practice address

2669 Anthony Ave
Bellmore, NY 11710-4619

Phone

(516) 783-8746

Fax

(516) 783-8746

NPI assigned

Feb 14, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720121601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 ANTHONY AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104619",
            "telephone_number": "516-783-8746",
            "fax_number": "516-783-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 ANTHONY AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117104619",
            "telephone_number": "516-783-8746",
            "fax_number": "516-783-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPERSTEIN",
        "first_name": "MIRA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Simon, RDN
• Lana Marie Simonetti, BA, MS
• Wendi Singer
• Bhavini Singh
• Siobhan Kearns, Nurse Practitioner in Psychiatry, PLLC
• Arlene Sonia Skeete
• Ilana Slavin, MS. ED, LMT
• Tyra L Smith Banks
• Anna Smith, LCSW
• Shannon Marie Smith, LPN

• Speech-Language Pathologist in Bellmore, NY
• Providers in Bellmore, 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 Jul 8, 2007; 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.