Maura D Fox, M.S.CCC-SLP,NBCT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58-005987 Issued in NY

Practice address

1153 Burgoyne Ave
Suite 2
Fort Edward, NY 12828-1135

Phone

(518) 581-3605

NPI assigned

Oct 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wswhe Boces

  • Local Education Agency (LEA)
  • Fort Edward, NY
  • NPI 1750656260
  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1003190984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MADISON ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013023",
            "telephone_number": "518-791-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 BURGOYNE AVE",
            "address_2": "SUITE 2",
            "city": "FORT EDWARD",
            "state": "NY",
            "postal_code": "128281135",
            "telephone_number": "518-581-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MAURA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "M.S.CCC-SLP,NBCT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58-005987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fort Hudson Certified Home Health Agency, Inc.
• Fort Hudson Home Care, Inc.
• Fort Hudson Nursing Center, Inc.
• Fort Hudson Nursing Center, Inc.
• Fort Hudson Social Day Program
• Kenneth S France, MD
• Michael W Fuller, MD
• Philip Joseph Gara Jr., MD FACP
• Lisa Goodrich, LPN
• Laurel Green, LMSW

• Speech-Language Pathologist in Fort Edward, NY
• Providers in Fort Edward, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.