Nitun Kumar, MSCCCSLP
Individual provider Active NPI Speech-Language Pathologist · Lake Sucess, NY
NPI 1720125354 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720125354
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 013802 (NY)
- Practice address
- 1979 Marcus Ave
Suite 204
Lake Sucess, NY 11104 - Phone
- (516) 327-4684
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Global Speech-Language Pathology PC
Practice addresses (Care Compare)
1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002
Phone (516) 327-4681
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091125000539 | NY | Practitioner - Qualified Speech Language Pathologist | 3173662459 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013802 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nysarc Inc | Current |
Accepting new patients | |
| Lifespire, Inc. | Current |
Accepting new patients | |
| Lifespire, Inc. | Current |
Accepting new patients | |
| Global SLP OT PT & Psychological Services, PLLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Global Speech Language Pathology PC | Speech-Language Pathologist | Current |
Accepting new patients |
| Epic Medical Services PC | Current |
Accepting new patients | |
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients |
Locations
21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444
1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420
16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700
1979 Marcus Ave
Ste 204
New Hyde Park, NY 11042
Phone (516) 327-4681
83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564
83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578
159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 013802 | NY | Yes |
Addresses
Primary practice location
1979 Marcus Ave
Suite 204
Lake Sucess, NY 11104
Mailing address
7324 255TH St
2F
Glen Oaks, NY 11004-1147
Phone (718) 343-4694
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.