Marina Takhalov

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017417 Issued in NY

Practice address

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Phone

(631) 474-6111

Fax

(631) 474-6861

NPI assigned

Oct 2, 2008

Last updated

Oct 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marina Tsifrinovich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1275784761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6111",
            "fax_number": "631-474-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6111",
            "fax_number": "631-474-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHALOV",
        "first_name": "MARINA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARINA",
            "last_name": "TSIFRINOVICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manal Syeda, DO
• Diane Elizabeth Tafuro
• Jenna L Taglienti, MD
• Hansen Tai, MD
• William L. Taibi, M.D.
• Christopher Rene Tanchez, DO
• Regina M Tart, LMT
• Jennifer Tassell, RPH.
• Kim M. Tassinari, PH.D.
• Bonnie Taub, LMT

• Speech-Language Pathologist in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.