Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aliza Ellenwood, MACCC/SLP

Individual provider Speech-Language Pathologist · NPI 1205548062

Aliza Ellenwood, MACCC/SLP is a Qualified Speech Language Pathologist in New Hyde Park, New York. Qualified in 2001, 25 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

430 Lakeville Rd
New Hyde Park, NY 11042-1121
Phone: (718) 470-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 013313-01 (NY)

Record details

NPI number1205548062
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC/SLP
Sole proprietorNo
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Hyde Park