Marina A Kristel, MS, CCC/SLP

Primary specialty

SpecialistTaxonomy code 174400000X

License

06099-1 Issued in NY

Practice address

580 Pearse Rd
Niskayuna, NY 12309-2906

Phone

(518) 286-2427

Fax

(518) 464-3410

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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.

• Northeast Speech-Language Pathology, P.C.

  • Home Health Agency
  • Niskayuna, NY
  • NPI 1467689208
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1043239502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 PEARSE RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092906",
            "telephone_number": "518-286-2427",
            "fax_number": "518-464-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PEARSE RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123092906",
            "telephone_number": "518-286-2427",
            "fax_number": "518-464-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISTEL",
        "first_name": "MARINA",
        "middle_name": "A",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "06099-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard P Kinlan, LCSW
• Karen J Kirchner, MD, MPH
• Dale Virginia Koskowski, MSED
• Marion B Kouzan, PT
• Tawfik M Kredan, MD
• Tzigane Lajeunesse
• David Otto Lange, BS
• Sarah E Laplant, RPH
• Christina M Laronca, NP
• Sarah Dolan Lashway, FNP-BC

• Specialist in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.