Marissa Ann Fappiano, MS SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58023648 Issued in NY

Practice address

798 Pelton Avenue
Staten Island, NY 10310-3154

Phone

(917) 836-8964

NPI assigned

Apr 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Marissa Ann Aiani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Speech Room

  • Speech-Language Pathologist
  • Aberdeen, NJ
  • NPI 1942717871
  NPD (past)

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

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1295153252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 PELTON AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103154",
            "telephone_number": "917-836-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 PELTON AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103103154",
            "telephone_number": "917-836-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAPPIANO",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-06",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58023648",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "023648-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "AIANI",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kim Fanizza
• Susan Fanizzi, LPN
• Marie Ann Fanning, DDS
• Fanny B Kasher MD LLC
• Joseph Fanous, MD
• Irene Faraci
• Ayman Roushdy Farag, MD
• Sherif A Farag, MD
• Kathleen Farago
• Gabriella Carmella Farah

• All providers in Staten Island, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.