Active NPI
Nassau Speech & Language Center LLC
- Speech-Language Pathologist
- Great Neck, NY
National Provider Identifier
1801722699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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 DirectoryLocations
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
- Nassau County Dermatology PLLC
- Nassau Gastroenterology Associates, P.C.
- Nassau Gastroenterology Office Based Surgery, P.C.
- Nassau Plastic Surgical Suites PC
- Nassau Pulmonary & Critical Care Medicine PC
- Nassau University Medical Center
- Nassim Medical PC
- Ariel Nassim
- Jennifer Nastri
- Natalie Eichhorn, Mental Health Counselor PLLC
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.