Individual provider Active NPI

Roberta Nicole Spencer, MS SLP

  • Speech-Language Pathologist
  • Yorktown, NY
National Provider Identifier
1124380480
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023223 Issued in NY
Practice address
2725 Crompond Rd Yorktown CSD
Yorktown, NY 10598
Phone
(914) 243-8000
Fax
(914) 245-5566
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSSLD1155734 NY
Speech-Language Pathologist 235Z00000X 023223 NY Primary

Addresses

Primary practice location

2725 Crompond Rd Yorktown CSD
Yorktown, NY 10598

Mailing address

23 Deer Run PO Box 54
New Fairfield, CT 06812
Phone (914) 879-2919

Other names 1

  • Roberta Nicole Marro Former name

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
023223NYMDOccupational Therapist
TSSLD1155734NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1124380480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DEER RUN PO BOX 54",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "06812",
            "telephone_number": "914-879-2919",
            "fax_number": "914-245-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CROMPOND RD YORKTOWN CSD",
            "city": "YORKTOWN",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-243-8000",
            "fax_number": "914-245-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ROBERTA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "TSSLD1155734",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTA",
            "last_name": "MARRO",
            "middle_name": "NICOLE",
            "credential": "MS SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yorktown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.