Individual provider Active NPI

Eunice Margot Pivovitsch, S.L.P.-CCC

  • Speech-Language Pathologist
  • Syosset, NY
National Provider Identifier
1740426600
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012928 Issued in NY
Practice address
2 Roosevelt Avenue
Suite 300 Cooper Kids Therapy Associates
Syosset, NY 11791
Phone
(516) 496-4460
Fax
(516) 921-4432
NPI assigned
Dec 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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 012928 NY Primary

Addresses

Primary practice location

2 Roosevelt Avenue
Suite 300 Cooper Kids Therapy Associates
Syosset, NY 11791

Mailing address

173-15 Jewel Avenue
Flushing, NY 11365
Phone (718) 380-4155

Other names 1

  • Ms. Eunice Margot (Wolkin) Pivovitsch Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
012928NYMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230249600000",
    "number": "1740426600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173-15 JEWEL AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-380-4155",
            "fax_number": "718-380-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ROOSEVELT AVENUE",
            "address_2": "SUITE 300 COOPER KIDS THERAPY ASSOCIATES",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "11791",
            "telephone_number": "516-496-4460",
            "fax_number": "516-921-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVOVITSCH",
        "first_name": "EUNICE",
        "middle_name": "MARGOT",
        "name_prefix": "Ms.",
        "credential": "S.L.P.-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-26",
        "last_updated": "2008-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNICE",
            "last_name": "(WOLKIN) PIVOVITSCH",
            "middle_name": "MARGOT",
            "prefix": "MS.",
            "credential": "S.L.P-CCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 26, 2008; 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.