Individual provider Active NPI

Martin N Werzberger, MS CCC-SLP TSHH

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1003050766
Registry record updated Apr 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017941 Issued in NY
Practice address
80 Ross St Apt 3F
Brooklyn, NY 11211-7644
Phone
(718) 384-4313
NPI assigned
Apr 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 017941 NY Primary

Addresses

Primary practice location

80 Ross St Apt 3F
Brooklyn, NY 11211-7644

Mailing address

80 Ross St Apt 3F
Brooklyn, NY 11211-7644
Phone (718) 384-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017941NYMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240704000000",
    "number": "1003050766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROSS ST APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117644",
            "telephone_number": "718-384-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROSS ST APT 3F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112117644",
            "telephone_number": "718-384-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERZBERGER",
        "first_name": "MARTIN",
        "middle_name": "N",
        "credential": "MS CCC-SLP TSHH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2009-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.