Kaitlin Camille Dimartino

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6144 Route 25a Ste 9B
Wading River, NY 11792-2015

Phone

(631) 325-7755

NPI assigned

Apr 9, 2021

Last updated

Apr 9, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Andrea E Nomberg Physician PC

  • Family Medicine Physician
  • Ronkonkoma, NY
  • NPI 1295394120
  NPD
• Theralympic Speech Therapy PLLC

  • Early Intervention Provider Agency
  • Ronkonkoma, NY
  • NPI 1730665043

  Speech-Language Pathologist

  NPD
• Manorville Speech Pathology, PC

  • Early Intervention Provider Agency
  • Wading River, NY
  • NPI 1942443213
  NPD (past)

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1326628827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 10TH AVE",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117422362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A STE 9B",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922015",
            "telephone_number": "631-325-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARTINO",
        "first_name": "KAITLIN",
        "middle_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Joan Davis, NP
• Suzanne Debaun
• Jacqueline Delaney
• Denise M Delise, LCSW
• Kim Su Ann Dermody, LMT
• Donald Doherty, PT
• Evette M Downey
• Ryan J Doyle, LPN
• Linda C Duruan, LCSW
• Karina Susanne Ellis, RD, LDN

• Speech-Language Pathologist in Wading River, NY
• Providers in Wading River, 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 Apr 9, 2021; 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.