Individual provider Active NPI

Steven Ronald Langevin, S.L.P.

  • Speech-Language Pathologist
  • Massapequa Park, NY
National Provider Identifier
1871636423
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013828-1 Issued in NY
Practice address
58 2ND Ave
Massapequa Park, NY 11762-2819
Phone
(516) 984-8044
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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 013828-1 NY Primary

Addresses

Primary practice location

58 2ND Ave
Massapequa Park, NY 11762-2819

Mailing address

58 2ND Ave
Massapequa Park, NY 11762-2819
Phone (516) 984-8044

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
013828NYMDOccupational Therapist
013828-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Center for Speech, Language and Swallowing Disorders, LLP PastSince Dec 28, 2017 Accepting new patients

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1871636423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 2ND AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622819",
            "telephone_number": "516-984-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 2ND AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622819",
            "telephone_number": "516-984-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEVIN",
        "first_name": "STEVEN",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "S.L.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013828-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.