Active NPI
Elise K Reumann, M.S., CCC-SLP, TSSLD
- Speech-Language Pathologist
- Lake Ronkonkoma, NY
National Provider Identifier
1952921322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031283
- Practice address
- 51 School St
Lake Ronkonkoma, NY 11779-2298 - Phone
- (631) 471-1300
- NPI assigned
- Apr 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 031283 | NY | Primary |
Addresses
Primary practice location
51 School St
Lake Ronkonkoma, NY 11779-2298
Mailing address
11 Leary LN
Nesconset, NY 11767-1809
Phone (631) 655-5991
Other practice location 1
622 Hawkins Ave
Lake Ronkonkoma, NY 11779-2374
Phone (631) 240-3579
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrea E Nomberg Physician PC | Current | Accepting new patients | |
| Theralympic Speech Therapy PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
622 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 240-3579
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.
-
- Family Medicine Physician
- Ronkonkoma, NY
- NPI 1295394120
-
- Early Intervention Provider Agency
- Ronkonkoma, NY
- NPI 1730665043
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1952921322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 LEARY LN",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117671809",
"telephone_number": "631-655-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SCHOOL ST",
"city": "LAKE RONKONKOMA",
"state": "NY",
"postal_code": "117792298",
"telephone_number": "631-471-1300"
}
],
"practiceLocations": [
{
"address_1": "622 Hawkins Ave",
"address_purpose": "LOCATION",
"city": "Lake Ronkonkoma",
"state": "NY",
"postal_code": "117792374",
"country_code": "US",
"telephone_number": "631-240-3579",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REUMANN",
"first_name": "ELISE",
"middle_name": "K",
"credential": "M.S., CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-25",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Ronkonkoma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.