Individual provider Active NPI

Viktoriya Vinokur

  • Speech-Language Pathologist
  • Seaford, NY
National Provider Identifier
1811376148
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
025938 Issued in NY
Practice address
672 Priscilla PL
Seaford, NY 11783-1122
Phone
(646) 265-0356
NPI assigned
May 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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 025938 NY Primary

Addresses

Primary practice location

672 Priscilla PL
Seaford, NY 11783-1122

Mailing address

672 Priscilla PL
Seaford, NY 11783-1122
Phone (646) 265-0356

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402003092 NY Practitioner - Qualified Speech Language Pathologist 0749703478 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025938NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea E Nomberg Physician PC CurrentSince Jan 26, 2025 Accepting new patients
Theralympic Speech Therapy PLLC Speech-Language Pathologist CurrentSince Jan 26, 2025 Accepting new patients

Locations

400 S Oyster Bay Rd
Ste 102
Hicksville, NY 11801
Phone (516) 595-7550

2330 Union Blvd
Islip, NY 11751
Phone (631) 224-4200

622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

624 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579

Organizations & group practices 2

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1811376148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 PRISCILLA PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831122",
            "telephone_number": "646-265-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 PRISCILLA PL",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117831122",
            "telephone_number": "646-265-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINOKUR",
        "first_name": "VIKTORIYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "025938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.