Christine Anne Sposato, SPEECH-LANGUAGE PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014176 Issued in NY

Practice address

9A East Moriches Boulevard
East Moriches, NY 11940-1440

Phone

(631) 566-0045

NPI assigned

Aug 22, 2007

Last updated

Oct 8, 2021By the provider in NPPES

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 identifiers 1

Other names 1

• Miss Christine Anne Marsala Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1093908154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9A EAST MORICHES BOULEVARD",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401440",
            "telephone_number": "631-566-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A EAST MORICHES BOULEVARD",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401440",
            "telephone_number": "631-566-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOSATO",
        "first_name": "CHRISTINE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH-LANGUAGE PATH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03662631",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "MARSALA",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in East Moriches, NY
• Providers in East Moriches, 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 8, 2021; 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.