Active NPI
Michelle Marciano, MS. C-C-C SLP
- Speech-Language Pathologist
- Cedarhurst, NY
National Provider Identifier
1174813745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 019330-1
- Practice address
- 445 Central Ave
Cedarhurst, NY 11516 - Phone
- (516) 374-3377
- NPI assigned
- Apr 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 019330-1 | NY | Primary |
Addresses
Primary practice location
445 Central Ave
Cedarhurst, NY 11516
Mailing address
6429 Elray Drive
Apt. B
Baltimore, MD 21209
Phone (410) 358-1843
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019330-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1174813745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6429 ELRAY DRIVE",
"address_2": "APT. B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21209",
"telephone_number": "410-358-1843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "11516",
"telephone_number": "516-374-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCIANO",
"first_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MS. C-C-C SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "019330-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.