Individual provider Active NPI

Caron Margolin, M.S., C.C.C.-SLP

  • Speech-Language Pathologist
  • Baldwin, NY
National Provider Identifier
1235407784
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58 006801 Issued in NY
Practice address
3363 Milburn Ave
Baldwin, NY 11510-5146
Phone
(516) 377-1529
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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 58 006801 NY Primary

Addresses

Primary practice location

3363 Milburn Ave
Baldwin, NY 11510-5146

Mailing address

3363 Milburn Ave
Baldwin, NY 11510-5146
Phone (516) 377-1529

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 Science

State licenses

LicenseStateTypeSpecialty
58 006801NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1235407784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105146",
            "telephone_number": "516-377-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105146",
            "telephone_number": "516-377-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOLIN",
        "first_name": "CARON",
        "credential": "M.S., C.C.C.-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58 006801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.