Active NPI
Michele De Maria, MA, CCC-SLP
- Speech-Language Pathologist
- Glen Cove, NY
National Provider Identifier
1063666121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009022-1
- Practice address
- 12 Walnut Rd
Glen Cove, NY 11542-2227 - Phone
- (917) 282-2219
- NPI assigned
- Nov 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009022-1 | NY | Primary |
Addresses
Primary practice location
12 Walnut Rd
Glen Cove, NY 11542-2227
Mailing address
60 Baldwin Ave
Locust Valley, NY 11560-1921
Phone (917) 282-2219
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009022-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michele de Maria SLP, P.C. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Locust Valley, NY
- NPI 1285901512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226707200000",
"number": "1063666121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 BALDWIN AVE",
"city": "LOCUST VALLEY",
"state": "NY",
"postal_code": "115601921",
"telephone_number": "917-282-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WALNUT RD",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422227",
"telephone_number": "917-282-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE MARIA",
"first_name": "MICHELE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-15",
"last_updated": "2008-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009022-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.