Active NPI
Roberta Nicole Spencer, MS SLP
- Speech-Language Pathologist
- Yorktown, NY
National Provider Identifier
1124380480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 023223
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 023223 | NY | MD | Occupational Therapist |
| TSSLD1155734 | NY | MD | Speech-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.