MRS. SHARON PARK (NPI# 1063559136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063559136 |
| Entity Type | Individual |
| Full Name | MRS. SHARON PARK |
| Credential | SLP |
| Practice Address |
65 Church Lane Aquebogue NY 11931-0162 |
| Mailing Address |
Po Box 162 65 Church Lane Aquebogue NY 11931-0162 |
| Practice Telephone | 6318047320 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 014016 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013904 | Sharon Jieun Park | Pharmacist | 72 Crescent Ave, Waldwick, NJ 07463-1345 | 2020-08-13 |
| 1750918314 | Sharon B Park | Student in an Organized Health Care Education/Training Program | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2020-03-24 |
| 1306494695 | Sharon Park | Pharmacist | 3151 University Ave, San Diego, CA 92104-2039 | 2019-08-29 |
| 1518413715 | Sharon Park | Nurse Practitioner | 1 Gustave L. Levy Place, New York, NY 10029-6574 | 2016-08-28 |
| 1396153938 | Sharon Park | Pharmacist | 8720 W Grand River Ave, Brighton, MI 48116-2307 | 2014-07-28 |
| 1912287665 | Sharon Park | Pharmacist | 2100 Sheridan Rd, Zion, IL 60099-2327 | 2011-08-25 |
| Street Address |
65 CHURCH LANE |
| City | AQUEBOGUE |
| State | NY |
| Zip Code | 11931-0162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679096317 | Hamid Javidi | Obstetrics & Gynecology | 11 Whites Lane, Aquebogue, NY 11931 | 2017-07-25 |
| 1639590532 | Caitlin Saxtein | Speech-Language Pathologist | 863 Union Avenue, Aquebogue, NY 11931 | 2013-12-18 |
| 1831451400 | Jacqueline E King-presant | Counselor | 19 Foxtrail Ct., Aquebogue, NY 11931 | 2012-06-11 |
| 1528376621 | Dawn Carrera | Registered Nurse | 499 Main Road, Aquebogue School, Aquebogue, NY 11931 | 2010-09-22 |
| 1457684714 | Shavonne E Turner | Licensed Practical Nurse | 35 Zion Street, Aquebogue, NY 11931 | 2009-09-17 |
| 1598900888 | Maria C. Maranga | Dentist | 508 Main Rd, Rt 25, Aquebogue, NY 11931 | 2008-12-16 |
| 1861409062 | Jennifer C Seitz | Audiologist | 292 Shade Tree Lane, Aquebogue, NY 11931 | 2006-08-01 |
| 1629388871 | Ellen C Knieriemen | Speech-Language Pathologist | 499 Main Road, Aquebogue, NY 11931 | 2010-10-20 |
| 1841483633 | Peconic Ear Nose Throat & Facial Plastic Surgery, PC | Specialist | 292 Shade Tree Lane, Aquebogue, NY 11931 | 2007-08-24 |
| 1265488027 | Etk Rpa, PC | Physician Assistant | 19 Fox Trail Court, Aquebogue, NY 11931-0083 | 2006-05-25 |
| Find all providers in zip 11931 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639590532 | Caitlin Saxtein | Speech-Language Pathologist | 863 Union Avenue, Aquebogue, NY 11931 | 2013-12-18 |
| 1265772412 | Lois M. Leonard | Speech-Language Pathologist | 3 Fox Chaser Pl., Aquebogue, NY 11931-0494 | 2013-02-26 |
| 1447569199 | Lisa A Dandrea | Speech-Language Pathologist | 499 Main Rd, Aquebogue, NY 11931-1200 | 2010-09-29 |
| 1629388871 | Ellen C Knieriemen | Speech-Language Pathologist | 499 Main Road, Aquebogue, NY 11931 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689490 | Rebecca Papa | Speech-Language Pathologist | 219 E 66th St Apt 2a, New York, NY 10065-6430 | 2020-11-08 |
| 1255932935 | Emily W Wang | Speech-Language Pathologist | 486 E 28th St Apt 702, Brooklyn, NY 11226-7994 | 2020-11-08 |
| 1962003087 | Gittel Markowitz | Speech-Language Pathologist | 3751 Lyme Ave, Brooklyn, NY 11224-1321 | 2020-11-04 |
| 1073114245 | Joanna Kaufman | Speech-Language Pathologist | 3515 75th St Apt 102, Jackson Heights, NY 11372-4401 | 2020-11-04 |
| 1760082473 | Carli Nussenblatt | Speech-Language Pathologist | 47 Donald Dr, New Rochelle, NY 10804-1833 | 2020-10-30 |
| 1043810740 | Nichole Bada | Speech-Language Pathologist | 5616 202nd St, Bayside, NY 11364-1629 | 2020-10-30 |
| 1932709813 | Nikki Rose Iadanza | Speech-Language Pathologist | 433 Manhattan St, Staten Island, NY 10307-1810 | 2020-10-29 |
| 1942800024 | Carla D Gottlich | Speech-Language Pathologist | 201 E 69th St Apt 3n, New York, NY 10021-5481 | 2020-10-28 |
| 1871193276 | Mehreen Parvez | Speech-Language Pathologist | 11 Wishing Ln, Hicksville, NY 11801-6422 | 2020-10-27 |
| 1841890050 | Leslie-anne Mcmanus | Speech-Language Pathologist | 35 Hickory Rd, Bayville, NY 11709-1832 | 2020-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.