Ann Marie Borelli

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020445 Issued in NY

Practice address

1160 Richmond Rd
Apt. 4J
Staten Island, NY 10304-2443

Phone

(718) 351-8407

NPI assigned

May 3, 2011

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Superior Clinical Care PLLC

  • Contractor
  • Staten Island, NY
  • NPI 1154487122
  Medicare reassignment NPD

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1154613602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 RICHMOND RD",
            "address_2": "APT. 4J",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042443",
            "telephone_number": "718-351-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 RICHMOND RD",
            "address_2": "APT. 4J",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042443",
            "telephone_number": "718-351-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORELLI",
        "first_name": "ANN MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amrit Bopaiah, MD
• Vinod Bopaiah, MD
• Bahar Borcin
• John Bordeaux
• Abraham Bordon, MD
• Margaret Borg, RN
• Klaydson Jose Martins Borges, ACUPUNCTURIST
• Nicole Borges, MD
• Boris Kapelnik OD PC
• Claire Bornstein, P.A.-C.

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.