Individual provider Active NPI

Mariela Berenice Camejo, MA, SLP-TSLD

  • Speech-Language Pathologist
  • Briarwood, NY
National Provider Identifier
1174834436
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015898-1 Issued in NY
Practice address
13909 84TH Dr
605
Briarwood, NY 11435-1800
Phone
(718) 607-6799
Fax
(718) 785-0420
NPI assigned
Jul 1, 2010
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 015898-1 NY Primary

Addresses

Primary practice location

13909 84TH Dr
605
Briarwood, NY 11435-1800

Mailing address

13909 84TH Dr
605
Briarwood, NY 11435-1800
Phone (718) 607-6799

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 Arts

State licenses

LicenseStateTypeSpecialty
015898-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1174834436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13909 84TH DR",
            "address_2": "605",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351800",
            "telephone_number": "718-607-6799",
            "fax_number": "718-785-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 84TH DR",
            "address_2": "605",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351800",
            "telephone_number": "718-607-6799",
            "fax_number": "718-785-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMEJO",
        "first_name": "MARIELA",
        "middle_name": "BERENICE",
        "credential": "MA, SLP-TSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015898-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.