Individual provider Active NPI

Janine Marie Stiene

  • Speech-Language Pathologist
  • Stony Brook, NY
National Provider Identifier
1801971502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011861 Issued in NY
Practice address
215 Hallock Rd
Suite 6B
Stony Brook, NY 11790
Phone
(631) 689-6858
Fax
(631) 751-6027
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 011861 NY Primary

Addresses

Primary practice location

215 Hallock Rd
Suite 6B
Stony Brook, NY 11790

Mailing address

215 Hallock Rd
Suite 6B
Stony Brook, NY 11790
Phone (631) 689-6858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000360 NY Practitioner - Qualified Speech Language Pathologist 5496943607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 William Floyd Pkwy
Suite 302
East Yaphank, NY 11967-1800
Phone (631) 775-8203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011861NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Li Speech Pathology &Swallowing Disorders PC Speech-Language Pathologist CurrentSince Aug 31, 2010 Accepting new patients
Speech Pathology & Swallowing Disorder Services of Nassau, P.C. Speech-Language Pathologist PastSince Aug 13, 2023 Accepting new patients
Long Island Speech Pathology Myofunctional Therapy Services P.C. Speech-Language Pathologist PastSince Aug 13, 2023 Accepting new patients
Mid Suffolk Speech Pathology & Swallowing Disorder Services of L.I., P Speech-Language Pathologist PastSince Aug 13, 2023 Accepting new patients

Locations

1500 William Floyd Pkwy
Ste 302
Shirley, NY 11967
Phone (516) 622-6100

213 Hallock Rd
Ste 6
Stony Brook, NY 11790
Phone (631) 689-6858

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801971502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD",
            "address_2": "SUITE 6B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-6858",
            "fax_number": "631-751-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 HALLOCK RD",
            "address_2": "SUITE 6B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-6858",
            "fax_number": "631-751-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIENE",
        "first_name": "JANINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.