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Michael Speed , LPN

Licensed Practical Nurse • Brewster, NY

Active NPI 1063722015 Individual Practitioner Male Practitioner
Practice location in NPPES

111 Clock Tower Commons, Route 22
Brewster, NY 105094055

Call 8452795187 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 Clock Tower Commons
Route 22

Brewster, NY 105094055

Telephone 8452795187
Organization at the Same NPPES Address or Phone
Northern Heart Specialists Pc Facility NPI 1003893876

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Brewster and New York

24 active clinicians are listed under Licensed Practical Nurse with a practice address in Brewster, NY (22,839 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Brewster

0% of these 24 clinicians have the CMS telehealth indicator.

0% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES NY 253955-1

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

20 listed
Dr. Arun Agarwal , MD

Internal Medicine - Pulmonary Disease

NPI 1073590493

Doctor of Medicine (M.D.)

Dr. Martha Bouchard , MD

Internal Medicine

NPI 1467439893

Doctor of Medicine (M.D.)

Dr. Michael Capicotto , MD

Internal Medicine - Nephrology

NPI 1366495095

Doctor of Medicine (M.D.)

Dr. Paul Chang , MD

Internal Medicine

NPI 1285611566

Doctor of Medicine (M.D.)

Dr. Maddipoti Choudry , MD

Internal Medicine - Cardiovascular Disease

NPI 1053398495

Doctor of Medicine (M.D.)

Dr. Justin Chua , MD

Family Medicine

NPI 1154856755

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated October 08, 2010.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1063722015
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2010
Last Update: October 08, 2010
Sole Proprietor: No

Mailing Address

19 Nancy Ln

Brewster, NY 105093702

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.