Integrative Speech Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024437 Issued in NY

Legal business name

INTEGRATIVE SPEECH THERAPY PLLC

Doing business as

Ahern Speech and Swallowing Rehabilitation
Swallogy Speech and Swallow Services

Practice address

79 Wave St
Staten Island, NY 10304-2728

Phone

(248) 231-3744

NPI assigned

Feb 1, 2017

Organization subpart

No

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

Authorized official

Name

Meghan Ahern, MS CCC-SLPNPI 1508280421

Title

Owner

Phone

(248) 231-3744

Specialties & licenses 1

Addresses

Other names 2

• Ahern Speech and Swallowing Rehabilitation Doing business as
• Swallogy Speech and Swallow Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• Meghan Ahern, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1508280421
  Medicare reassignment Care Compare group Authorized official
• Rebecca K Connors, MS CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1821714080
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1720526452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAVE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042728",
            "telephone_number": "248-231-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAVE ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042728",
            "telephone_number": "248-231-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 E 80th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751048",
            "country_code": "US",
            "telephone_number": "248-231-3744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATIVE SPEECH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-01",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-231-3744",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahern Speech and Swallowing Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swallogy Speech and Swallow Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 May 24, 2024; 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.