NPIMap

Organization Active NPI

Purple Table S.L.P., PLLC

  • Early Intervention Provider Agency
  • Glen Head, NY
National Provider Identifier
1003189986
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
013002 Issued in NY
Legal business name
PURPLE TABLE S.L.P., PLLC
Practice address
16 Post St
Glen Head, NY 11545-1809
Phone
(347) 539-6427
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Maryann Elizabeth Massari, MA CCC-SLP/TSHHNPI 1811142573
Title
Speech-Language Pathologist
Phone
(347) 539-6427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 013002 NY Primary

Addresses

Primary practice location

16 Post St
Glen Head, NY 11545-1809

Mailing address

16 Post Street
Glen Head, NEW YORK 11545
UM
Phone (347) 539-6427

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1003189986",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "16 POST STREET",
            "city": "GLEN HEAD",
            "state": "NEW YORK",
            "postal_code": "11545",
            "telephone_number": "347-539-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POST ST",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451809",
            "telephone_number": "347-539-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE TABLE S.L.P., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MASSARI",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-539-6427",
        "authorized_official_credential": "MA CCC-SLP/TSHH"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.