Active NPI
Carly L. Lentz, SPEECH THERAPIST
- Speech-Language Pathologist
- Patchogue, NY
National Provider Identifier
1821344300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 201 Sunrise Hwy W
Patchogue, NY 11772-1868 - Phone
- (631) 289-2200
- NPI assigned
- Aug 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
201 Sunrise Hwy W
Patchogue, NY 11772-1868
Mailing address
201 Sunrise Hwy W
Patchogue, NY 11772-1868
Phone (631) 289-2200
Other practice location 1
3390 Saxonburg Blvd
Suite 250
Glenshaw, PA 15116-3160
Phone (412) 767-5967
Other practice location 2
3390 Saxonburg Blvd
Suite 250
Glenshaw, PA 15116-3160
Phone (412) 767-5967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Suffolk Boces | Past | Accepting new patients | |
| Esboces | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Patchogue, NY
- NPI 1073890091
-
- Public Health or Welfare Agency
- Patchogue, NY
- NPI 1093092025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525910400000",
"number": "1821344300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SUNRISE HWY W",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721868",
"telephone_number": "631-289-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SUNRISE HWY W",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721868",
"telephone_number": "631-289-2200"
}
],
"practiceLocations": [
{
"address_1": "3390 Saxonburg Blvd",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Glenshaw",
"state": "PA",
"postal_code": "151163160",
"country_code": "US",
"telephone_number": "412-767-5967",
"fax_number": "412-767-5960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3390 Saxonburg Blvd",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Glenshaw",
"state": "PA",
"postal_code": "151163160",
"country_code": "US",
"telephone_number": "412-767-5967",
"fax_number": "412-767-5960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LENTZ",
"first_name": "CARLY",
"middle_name": "L.",
"credential": "SPEECH THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2018-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.