Active NPI
Maureen Seltzberg, M.S.CCC-SLP
- Speech-Language Pathologist
- Staten Island, NY
National Provider Identifier
1194960146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 008019-1
- Practice address
- 215 Prospect Ave
Staten Island, NY 10301-2112 - Phone
- (917) 922-2845
- NPI assigned
- Dec 4, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 008019-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 06499 | MD |
Addresses
Primary practice location
215 Prospect Ave
Staten Island, NY 10301-2112
Mailing address
2500 Wallington Way
Ste 103
Marriottsville, MD 21104-1505
Phone (410) 442-9791
Other practice location 1
2500 Wallington Way
Ste 103
Marriottsville, MD 21104-1505
Phone (410) 442-9791
Other names 1
- Maureen Seltzberg
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 |
|---|---|---|---|
| 06499 | MD | MD | Pediatric Occupational Therapist |
| 008019-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1194960146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WALLINGTON WAY",
"address_2": "STE 103",
"city": "MARRIOTTSVILLE",
"state": "MD",
"postal_code": "211041505",
"telephone_number": "410-442-9791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PROSPECT AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012112",
"telephone_number": "917-922-2845"
}
],
"practiceLocations": [
{
"address_1": "2500 Wallington Way",
"address_2": "Ste 103",
"address_purpose": "LOCATION",
"city": "Marriottsville",
"state": "MD",
"postal_code": "211041505",
"country_code": "US",
"telephone_number": "410-442-9791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELTZBERG",
"first_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "M.S.CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-04",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "008019-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "SELTZBERG",
"credential": "M.S.CCC-SLP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.