Organization Active NPI

Speech Pathology Evaluation for Adults and Kids, P.C.

  • Speech-Language Pathologist
  • Westbury, NY
National Provider Identifier
1821515073
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024463 Issued in NY
Legal business name
SPEECH PATHOLOGY EVALUATION FOR ADULTS AND KIDS, P.C.
Practice address
55 Post Ave
Westbury, NY 11590-4361
Phone
(516) 510-1609
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Authorized official

Name
Marie A Carnivale, MA, CCC-SLP
Title
President
Phone
(516) 510-1609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 024463 NY Primary

Addresses

Primary practice location

55 Post Ave
Westbury, NY 11590-4361

Mailing address

PO Box 106
Rockville Centre, NY 11571-0106
Phone (516) 510-1609

Other identifiers 1

IdentifierTypeStateIssuer
04045992MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1821515073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115710106",
            "telephone_number": "516-510-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 POST AVE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115904361",
            "telephone_number": "516-510-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY EVALUATION FOR ADULTS AND KIDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "CARNIVALE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-510-1609",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04045992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.