Individual provider Active NPI

Elise K Reumann, M.S., CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Lake Ronkonkoma, NY
National Provider Identifier
1952921322
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031283 Issued in NY
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

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Andrea E Nomberg Physician PC CurrentSince Oct 1, 2021 Accepting new patients
Theralympic Speech Therapy PLLC Speech-Language Pathologist CurrentSince May 1, 2020 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.

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.

Verify at the official NPI Registry.