Active NPI
Ellen Martin
- Speech-Language Pathologist
- Goshen, NY
National Provider Identifier
1275963894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021599-1
- Practice address
- 9A Maplewood Terrace
Goshen, NY 10924 - Phone
- (845) 545-4739
- NPI assigned
- Nov 18, 2013
- Last updated
- Oct 28, 2014
- 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 | 021599-1 | NY | Primary |
Addresses
Primary practice location
9A Maplewood Terrace
Goshen, NY 10924
Mailing address
9A Maplewood Terrace
Goshen, NY 10924
Phone (845) 545-4739
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1275963894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9A MAPLEWOOD TERRACE",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-545-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9A MAPLEWOOD TERRACE",
"city": "GOSHEN",
"state": "NY",
"postal_code": "10924",
"telephone_number": "845-545-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ELLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "021599-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.