Individual provider Active NPI

Amol Maddiwar

  • Speech-Language Pathologist
  • Syosset, NY
National Provider Identifier
1730458308
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
108 Sterling CT
Syosset, NY 11791-2420
Phone
(516) 659-9599
NPI assigned
Dec 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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 Primary

Addresses

Primary practice location

108 Sterling CT
Syosset, NY 11791-2420

Mailing address

108 Sterling CT
Syosset, NY 11791-2420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Dec 1, 2024 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Dec 15, 2020 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic CurrentSince Dec 1, 2024 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Aug 7, 2023 Accepting new patients
Epic Long Island CurrentSince Aug 7, 2023 Accepting new patients
Epic Medical Services PC CurrentSince Aug 7, 2023 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

145 Community Dr
Great Neck, NY 11021
Phone (516) 465-8260

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1730458308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STERLING CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 STERLING CT",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912420",
            "telephone_number": "516-659-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDIWAR",
        "first_name": "AMOL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.