Individual provider Active NPI

Michael Maerten

  • Speech-Language Pathologist
  • Woburn, MA
National Provider Identifier
1033528542
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-9322-SL Issued in MA
Practice address
7 Burlington St
Apt.1
Woburn, MA 01801-4007
Phone
(716) 480-7887
NPI assigned
Aug 8, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-9322-SL MA Primary
Speech-Language Pathologist 235Z00000X SA 12531 FL

Addresses

Primary practice location

7 Burlington St
Apt.1
Woburn, MA 01801-4007

Mailing address

7 Burlington St
Apt. 1
Woburn, MA 01801-4007
Phone (716) 480-7887

Other names 1

  • Michael Maerten Professional name

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

State licenses

LicenseStateTypeSpecialty
SA 12531FLMDSpeech-Language Pathologist
SP-9322-SLMAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1033528542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BURLINGTON ST",
            "address_2": "APT. 1",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014007",
            "telephone_number": "716-480-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BURLINGTON ST",
            "address_2": "APT.1",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018014007",
            "telephone_number": "716-480-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAERTEN",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "SP-9322-SL",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 12531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MAERTEN",
            "credential": "MSED, CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.