Individual provider Active NPI

Maureen Seltzberg, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1194960146
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008019-1 Issued in NY
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

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
06499MDMDPediatric Occupational Therapist
008019-1NYMDSpeech-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.

Verify at the official NPI Registry.