Melissa Basel

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012513 Issued in NY

Practice address

306 Balchen St
Massapequa Park, NY 11762-1111

Phone

(516) 804-5409

NPI assigned

Feb 6, 2007

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

Other names 1

• Melissa Bruzzo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355097600000",
    "number": "1083753941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BALCHEN ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621111",
            "telephone_number": "516-804-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BALCHEN ST",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621111",
            "telephone_number": "516-804-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASEL",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2012-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BRUZZO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Lee Barinque-Beczak, DDS
• Jean Phillip Barinque, DDS
• Cristie Lynn Barone, RN
• Suzanne Marie Barse, RN
• Christian Robert Barton, DPT
• Mary Ellen Baumann, CCC-LSP
• Behavior Change Success Corp
• Gina Marie Belfiore
• Corinne Beyer, PHYSICIAN ASSISTANT
• Vladislav Beylik, OTR/L

• Speech-Language Pathologist in Massapequa Park, NY
• Providers in Massapequa Park, 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 Dec 10, 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.