Mariel Fernandez, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

019689 Issued in NY

Practice address

5905 Fresh Meadow LN
Fresh Meadows, NY 11365-1513

Phone

(718) 746-1485

NPI assigned

Mar 10, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1336462092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 FRESH MEADOW LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651513",
            "telephone_number": "718-746-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 FRESH MEADOW LN",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651513",
            "telephone_number": "718-746-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MARIEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Fayzakova
• Kerrie Ann Felder, MASTERS
• Adam Feldstein, DPT
• Adina Feldstein, OTR/L
• Elizabeth Andrea Fernandez
• Yesenia Fernandez
• Phyllis Ferrara, LMSW
• Vivian S Ferreiro-Sanchez, MS SPEC ED
• Arya Firoozan
• Five Diamond Ny Limousine Transportation Inc.

• Speech-Language Pathologist in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Mar 10, 2010; 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.