Organization Active NPI

Marina Vazura Speech & Language Corp.

  • Speech-Language Pathologist
  • Queens Village, NY
National Provider Identifier
1124604384
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MARINA VAZURA SPEECH & LANGUAGE CORP.
Practice address
22030 Stronghurst Ave
Queens Village, NY 11427-2007
Phone
(347) 828-3498
NPI assigned
Mar 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Ms. Marina Vazura, MS CCC-SLP, TSSLDNPI 1740796739
Title
Speech Language Pathologist
Phone
(347) 828-3498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

22030 Stronghurst Ave
Queens Village, NY 11427-2007

Mailing address

22030 Stronghurst Ave
Queens Village, NY 11427-2007
Phone (347) 828-3498

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1124604384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 STRONGHURST AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272007",
            "telephone_number": "347-828-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 STRONGHURST AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272007",
            "telephone_number": "347-828-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA VAZURA SPEECH & LANGUAGE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "VAZURA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "347-828-3498",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.