Island Wide Speech S.L.P. PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ISLAND WIDE SPEECH S.L.P. PLLC

Practice address

2539 Martin Ave
Bellmore, NY 11710-3128

Phone

(516) 415-2751

Fax

(516) 415-2754

NPI assigned

Nov 26, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Fara Eileen Augustover, M.A. CCC-SLPNPI 1861625501

Title

Owner/Speech-Language Pathologist

Phone

(516) 508-2751

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Island Wide Speech Former legal business name

Practitioners 1

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.

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

  • Speech-Language Pathologist
  • Plainview, NY
  • NPI 1861625501
  NPD Authorized official

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1902442809",
    "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",
            "telephone_number": "516-508-2751",
            "fax_number": "516-415-2754"
        },
        {
            "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",
            "fax_number": "516-415-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WIDE SPEECH S.L.P. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "AUGUSTOVER",
        "authorized_official_first_name": "FARA",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "516-508-2751",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE SPEECH-LANGUAGE HEARING ASSOCIATION",
            "identifier": "019969-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "12118306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861625501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Wide Speech",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Island Wide Speech
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• Evangelina Jacobson, LAC.
• Larissa Jarvis
• Lewis K Jassey, DO
• Brittney Paula Javier

• Speech-Language Pathologist in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.