MS. KAREN AMY SUSSMAN M.A., CCC
NPI 1356476014
Speech-Language Pathologist in Hicksville, NY
NPI Status: Active since February 22, 2007
Contact Information
184 W NICHOLAI ST
HICKSVILLE, NY
ZIP 11801
Phone: (516) 433-1822
Fax: (516) 433-1840
- Individual
- Female
- Years of Experience 46
- Speech-Language Pathologist
- Accepts Medicare Approved Payment
About KAREN SUSSMAN
This page provides the complete NPI Profile along with additional information for Karen Sussman, a provider established in Hicksville, New York with a medical specialization in Speech-language Pathologist and more than 46 years of experience. The healthcare provider is registered in the NPI registry with number 1356476014 assigned on February 2007. The practitioner's primary taxonomy code is 235Z00000X with license number 003259-1 (NY). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1356476014
- Provider Name
- MS. KAREN AMY SUSSMAN M.A., CCC
- Other Name
- MS. KAREN AMY SUSSMAN-GOLDSTEIN M.A., CCC
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 184 W NICHOLAI ST HICKSVILLE, NY 11801
- Location Phone
- (516) 433-1822
- Location Fax
- (516) 433-1840
- Mailing Address
- 184 W NICHOLAI ST HICKSVILLE, NY 11801
- Mailing Phone
- (516) 433-1822
- Mailing Fax
- (516) 433-1840
- Medical School Name
- OTHER
- Graduation Year
- 1980
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-22-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 003259-1
- License State
- NY
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112760147 | OTHER (01) | NY | TAX ID # |
Medicare Participation & PECOS Enrollment Status
Karen Sussman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8224174339
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20091002000583
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Analysis of voice and resonance production
Study of voice box function
Treatment of speech, language, voice, communication, and/or hearing processing disorder
Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.
This service was performed 22 times for 22 patientsThe study of voice box function, or laryngoscopy, involves examining your voice box, or larynx, to assess its health and function. It helps identify issues like voice disorders, throat pain, or breathing problems. It's a non-invasive, painless procedure done by a medical professional.
This service was performed 22 times for 22 patientsThis treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
This service was performed 133 times for 22 patientsReviews for MS. KAREN AMY SUSSMAN M.A., CCC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356476014, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356476014, enumerated as an "individual" on February 22, 2007.
The provider is located at 184 W NICHOLAI ST HICKSVILLE, NY 11801 and the phone number is (516) 433-1822.
Speech-Language Pathologist with taxonomy code 235Z00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
