Sachem Central School District

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009192-1 Issued in NY

Legal business name

SACHEM CENTRAL SCHOOL DISTRICT

Practice address

251 Hudson Ave
Lake Grove, NY 11755-2514

Phone

(631) 471-1880

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Tuttle

Title

Coordinator of Student Services

Phone

(631) 471-1890

Specialties & licenses 1

Addresses

Tax ID family

Sachem Central School District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sachem Central School District

  • Speech-Language Pathologist
  • Lake Ronkonkoma, NY
  • NPI 1508293200
  NPD tax ID
• Sachem Central School District

  • Local Education Agency (LEA)
  • Lake Ronkonkoma, NY
  • NPI 1598801862
  NPD tax ID

Locations

Practitioners 1

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

• Lucia G. Abreu, MS CCC-SLP

  • Speech-Language Pathologist
  • Lake Grove, NY
  • NPI 1306273933
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1801222799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SCHOOL ST",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792231",
            "telephone_number": "631-471-1890",
            "fax_number": "631-471-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 HUDSON AVE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552514",
            "telephone_number": "631-471-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHEM CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COORDINATOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "631-471-1890",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009192-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leidy Y Rivero-Ruiz, R.N
• Salvatore Rosato
• Rose Marie Witek RN,BSN
• Alyssa Ruggiero, MHC LP
• Alexandra Saar, PA-C
• Kaitlyn Sampler, CRPA
• Alexa Amelia Samuelson
• Christopher Savini
• Nicole Christin Scala
• Theresa Scarola, LCSW

• Speech-Language Pathologist in Lake Grove, NY
• Providers in Lake Grove, 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 Sep 24, 2013; 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.