Individual provider Active NPI

Fara Eileen Augustover, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Plainview, NY
National Provider Identifier
1861625501
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
14 Harold Rd
Plainview, NY 11803-3908
Phone
(516) 415-2751
Fax
(516) 415-2754
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 Primary

Addresses

Primary practice location

14 Harold Rd
Plainview, NY 11803-3908

Mailing address

14 Harold Rd
Plainview, NY 11803-3908
Phone (516) 415-2751

Other names 1

  • Fara Ditkowsky Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517001730 NY Practitioner - Qualified Speech Language Pathologist 2961779228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Island Wide SpeechGroup PAC ID 8628594504, 2 clinicians

Practice addresses (Care Compare)

Plainview, NY 11803
Phone (516) 415-2751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Island Wide Speech CurrentSince Apr 1, 2025 Accepting new patients
Island Wide Speech S.L.P. PLLC Speech-Language Pathologist CurrentSince Dec 1, 2019 Accepting new patients

Locations

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

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1861625501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HAROLD RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033908",
            "telephone_number": "516-415-2751",
            "fax_number": "516-415-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HAROLD RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033908",
            "telephone_number": "516-415-2751",
            "fax_number": "516-415-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTOVER",
        "first_name": "FARA",
        "middle_name": "EILEEN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARA",
            "last_name": "DITKOWSKY",
            "credential": "M.A.CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.