Individual provider Active NPI

Nitun Kumar, MSCCCSLP

  • Speech-Language Pathologist
  • Lake Sucess, NY
National Provider Identifier
1720125354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013802 Issued in NY
Practice address
1979 Marcus Ave
Suite 204
Lake Sucess, NY 11104
Phone
(516) 327-4684
NPI assigned
Jan 31, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013802 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091125000539 NY Practitioner - Qualified Speech Language Pathologist 3173662459 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
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 PCGroup PAC ID 3577865120, 7 clinicians

Practice addresses (Care Compare)

1979 Marcus Ave
Suite 204
New Hyde Park, NY 11042-1002
Phone (516) 327-4681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013802NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Medical Services PC CurrentSince Apr 1, 2016 Accepting new patients
Lifespire, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Nysarc Inc New York City Chapter CurrentSince Oct 8, 2014 Accepting new patients
Lifespire, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Global SLP OT PT & Psychological Services, PLLC Speech-Language Pathologist CurrentSince Oct 1, 2020 Accepting new patients
Global Speech Language Pathology PC Speech-Language Pathologist CurrentSince Jan 1, 2016 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

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578

83 Maiden Ln
Fl 10
New York, NY 10038
Phone (212) 780-4491

83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720125354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 255TH ST",
            "address_2": "2F",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041147",
            "telephone_number": "718-343-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MARCUS AVE",
            "address_2": "SUITE 204",
            "city": "LAKE SUCESS",
            "state": "NY",
            "postal_code": "11104",
            "telephone_number": "516-327-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NITUN",
        "name_prefix": "Mr.",
        "credential": "MSCCCSLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.