Individual provider Active NPI

Samantha Heidi Wohlmacher, CCC-SLP

  • Speech-Language Pathologist
  • New Hyde Park, NY
National Provider Identifier
1790366979
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034181 Issued in NY
Practice address
1983 Marcus Ave Ste E110
New Hyde Park, NY 11042-2019
Phone
(516) 497-7600
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 034181 NY Primary

Addresses

Primary practice location

1983 Marcus Ave Ste E110
New Hyde Park, NY 11042-2019

Mailing address

740 Bay 7TH St
West Islip, NY 11795-4845
Phone (631) 617-3073

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
034181NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1790366979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 BAY 7TH ST",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954845",
            "telephone_number": "631-617-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE E110",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422019",
            "telephone_number": "516-497-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLMACHER",
        "first_name": "SAMANTHA",
        "middle_name": "HEIDI",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.