Organization Active NPI

Nassau Speech & Language Center LLC

  • Speech-Language Pathologist
  • Great Neck, NY
National Provider Identifier
1801722699
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NASSAU SPEECH & LANGUAGE CENTER LLC
Practice address
1000 Northern Blvd Ste 185
Great Neck, NY 11021-5338
Phone
(516) 852-6587
NPI assigned
Jun 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Authorized official

Name
Dawn Ruderman, MA CCC-SLP
Title
Owner/Ceo
Phone
(516) 852-6587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1000 Northern Blvd Ste 185
Great Neck, NY 11021-5338

Mailing address

1000 Northern Blvd Ste 185
Great Neck, NY 11021-5338
Phone (516) 852-6587

National Provider Directory

National Provider Directory

Locations

1000 Northern Blvd
Ste 185
Great Neck, NY 11021

NPI Registry JSON

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

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1801722699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD STE 185",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215338",
            "telephone_number": "516-852-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORTHERN BLVD STE 185",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215338",
            "telephone_number": "516-852-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAU SPEECH & LANGUAGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "RUDERMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "516-852-6587",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.