Active NPI
Sarah Nathan
- Speech-Language Pathologist
- Staten Island, NY
National Provider Identifier
1750152500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 033594
- Practice address
- 135 Vanderbilt Ave
Staten Island, NY 10304-2604 - Phone
- (312) 909-1502
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 033594 | NY | Primary |
Addresses
Primary practice location
135 Vanderbilt Ave
Staten Island, NY 10304-2604
Mailing address
208 Clermont PL
Staten Island, NY 10314-5102
Phone (312) 909-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 French St
Locust Valley, NY 11560-2319
Phone (516) 355-6001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority One Therapy PT OT SLP PLLC | Multi-Specialty | Current | Accepting new patients |
| Ny Speech Pathology Consultants, P.C. | Multi-Specialty | Current | Accepting new patients |
Locations
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Locust Valley, NY
- NPI 1285976324
Multi-Specialty
-
- Rehabilitation Practitioner
- Oceanside, NY
- NPI 1447517453
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1750152500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 CLERMONT PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103145102",
"telephone_number": "312-909-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 VANDERBILT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103042604",
"telephone_number": "312-909-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHAN",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "033594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.