Marissa Rachel Pine, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS01014900 Issued in NJ

Practice address

237 Avenue E
Bayonne, NJ 07002-3714

Phone

(201) 455-3144

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Infinite Therapy Solutions Kids LLC

  • Multi-Specialty Clinic/Center
  • Bayonne, NJ
  • NPI 1053072918
  NPD

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1194360099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 11TH ST APT 2",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303233",
            "telephone_number": "201-956-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 AVENUE E",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023714",
            "telephone_number": "201-455-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINE",
        "first_name": "MARISSA",
        "middle_name": "RACHEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01014900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy Center of Bayonne LLC
• Physician Wellness Consultants, LLC
• Kazimierz Pietrus
• Jane Pilanski, RDN
• Ma Christina Pillora
• Pineda Medical Associates LLC
• Edson Jesus Pineda, A.P.N.
• Veronica Vargas Pineda, DO
• Gwen Pineiro
• Nicole Piskura, RDCS

• Speech-Language Pathologist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.