PECONIC SPEECH SERVICES, P.C. (NPI# 1679981385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679981385 |
| Entity Type | Organization |
| Organization Name | PECONIC SPEECH SERVICES, P.C. |
| Practice Address |
305 Edwards Ave Calverton NY 11933 |
| Mailing Address |
Po Box 789 Calverton NY 11933-0789 |
| Practice Telephone | 6319482822 |
| Practice Fax Number | 6318807788 |
| Mailing Telephone | 6319482822 |
| Mailing Fax Number | 6318807788 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-11-05 |
| Authorized Official Name | MRS. SHANNON DUPUIS (DIRECTOR/OWNER) |
| Authorized Official Telephone | 6319482822 |
| Authorized Official Credential | MS-CCC/SLP, PC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
305 EDWARDS AVE |
| City | CALVERTON |
| State | NY |
| Zip Code | 11933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548549942 | Karlene Leonie Oakley | Registered Nurse | 67 Donna Drive, Baiting Hollow, NY 11933 | 2011-08-16 |
| 1497058036 | Janet Lynn Kantor | Speech-Language Pathologist | 374 Riley Avenue, Riley Avenue School, Calverton, NY 11933 | 2010-12-20 |
| 1346407780 | Eboni T Marshall | Registered Nurse | 32 Wooded Way, Calverton, NY 11933 | 2008-05-22 |
| 1245408038 | Djamshid Shirazian | Pathology | 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933 | 2008-02-14 |
| 1487822375 | Foroozan Mokhtarian | Pathology | Suny Incubator 4603 Middle Country Road, Suite 12-3, Calverton, NY 11933 | 2008-02-14 |
| 1952591380 | Georgina Kathryn Kamide | Registered Nurse | 114 Gregory Way, Calverton, NY 11933 | 2007-08-01 |
| 1609945112 | Lynne Ann Scalzo | Dietitian, Registered | 95 Sunwood Dr, Calverton, NY 11933-1011 | 2006-11-07 |
| 1023217098 | Patricia Marie Kelly | Specialist | 66 Oak Dr, Calverton, NY 11933-1100 | 2007-07-11 |
| 1013471127 | Natalie Nicole Lugo | Massage Therapist | 33 Oak Dr, Baiting Hollow, NY 11933-1106 | 2019-01-23 |
| 1730515321 | Marina L Torre | Specialist | 7 Fern Rd W, Calverton, NY 11933-1109 | 2013-09-16 |
| Find all providers in zip 11933 | ||||
| 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 |
|---|---|---|---|---|
| 1699325613 | Madison Moeller | Speech-Language Pathologist | 3400 Beltsville Rd, Calverton, MD 20705-3312 | 2019-09-12 |
| 1497058036 | Janet Lynn Kantor | Speech-Language Pathologist | 374 Riley Avenue, Riley Avenue School, Calverton, NY 11933 | 2010-12-20 |
| 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.