Active NPI
Madelyn Mallone Ratkus, SPEECH PATHOLOGIST
- Speech-Language Pathologist
- Central Islip, NY
National Provider Identifier
1205961828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 011288-1
- Practice address
- 29A Pineville Rd
Central Islip, NY 11722-2310 - Phone
- (631) 582-5790
- NPI assigned
- Feb 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 011288-1 | NY | Primary |
Addresses
Primary practice location
29A Pineville Rd
Central Islip, NY 11722-2310
Mailing address
29A Pineville Rd
Central Islip, NY 11722-2310
Phone (631) 582-5790
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 |
|---|---|---|---|
| 011288-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205961828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29A PINEVILLE RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222310",
"telephone_number": "631-582-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29A PINEVILLE RD",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "117222310",
"telephone_number": "631-582-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATKUS",
"first_name": "MADELYN",
"middle_name": "MALLONE",
"name_prefix": "Mrs.",
"credential": "SPEECH PATHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "011288-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Central Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.