Active NPI
Stacey Anne Marra, SLP, MS, CCC
- Speech-Language Pathologist
- Hawthorne, NY
National Provider Identifier
1245484575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 005399
- Practice address
- 5 Bradhurst Ave
Hawthorne, NY 10532-2135 - Phone
- (914) 606-0087
- NPI assigned
- Nov 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005399 | NY | Primary |
Addresses
Primary practice location
5 Bradhurst Ave
Hawthorne, NY 10532-2135
Mailing address
1 Greenlawn Rd
Cortlandt Manor, NY 10567
Phone (914) 606-0087
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465430400000",
"number": "1245484575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GREENLAWN RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "10567",
"telephone_number": "914-606-0087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 BRADHURST AVE",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105322135",
"telephone_number": "914-606-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRA",
"first_name": "STACEY",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "SLP, MS, CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-13",
"last_updated": "2016-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "005399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.