Individual provider Active NPI

Rosemary A De Martino, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Shirley, NY
National Provider Identifier
1114744083
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
035228 Issued in NY
Practice address
402 Sleepy Hollow Dr
Shirley, NY 11967-1419
Phone
(631) 745-7029
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 035228 NY Primary
Speech-Language Pathologist 235Z00000X 1001414967 WI
Speech-Language Pathologist 235Z00000X SP39190 CA
Speech-Language Pathologist 235Z00000X 242.008110 IL

Addresses

Primary practice location

402 Sleepy Hollow Dr
Shirley, NY 11967-1419

Mailing address

402 Sleepy Hollow Dr
Shirley, NY 11967-1419
Phone (631) 745-7029

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 Science

State licenses

LicenseStateTypeSpecialty
SP39190CAMDSpeech-Language Pathologist
242.008110ILMDSpeech-Language Pathologist
1001414967WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1114744083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SLEEPY HOLLOW DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671419",
            "telephone_number": "631-745-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SLEEPY HOLLOW DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671419",
            "telephone_number": "631-745-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARTINO",
        "first_name": "ROSEMARY",
        "middle_name": "A",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "035228",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "1001414967",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP39190",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.008110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.