NPIMap

Organization Active NPI

Island Wide Speech

  • Hearing and Speech Clinic/Center
  • Bellmore, NY
National Provider Identifier
1841625936
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
019969 Issued in NY
Legal business name
ISLAND WIDE SPEECH
Practice address
2539 Martin Ave
Bellmore, NY 11710-3128
Phone
(516) 415-2751
NPI assigned
Sep 6, 2013
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Fara Eileen Augustover, M.A. CCC-SLPNPI 1861625501
Title
Founder/Speech Language Pathologist
Phone
(516) 508-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 019969 NY Primary

Addresses

Primary practice location

2539 Martin Ave
Bellmore, NY 11710-3128

Mailing address

2539 Martin Ave
Bellmore, NY 11710-3128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424001081 NY Part B Supplier - Clinic/Group Practice 8628594504 Receives reassigned benefits from 11 practitioners
Practice locations: Melville, NY; Plainview, NY

National Provider Directory

National Provider Directory

Locations

1 Schwab Rd
Melville, NY 11747
Phone (516) 415-2751

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1841625936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 MARTIN AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MARTIN AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103128",
            "telephone_number": "516-415-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WIDE SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "AUGUSTOVER",
        "authorized_official_first_name": "FARA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "FOUNDER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-508-2751",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "019969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.