Elizabeth Martin

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

014974 Issued in NY

Practice address

65 Lower Rocky Point Rd
Miller Place, NY 11764-1600

Phone

(631) 474-2715

NPI assigned

Oct 21, 2010

Sex

Female

Sole proprietor

Yes

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": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1346550548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 GRASSLANDS CIR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 LOWER ROCKY POINT RD",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641600",
            "telephone_number": "631-474-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Avvento DC PC
• Victoria Margulies
• Kimberly Ann Marino, MA, CCC, SLP
• Mark Wasserman, MD
• Marian Margaretta Marshall, O.T.R./L.
• Maryhaven Center of Hope Inc.
• Maryhaven Center of Hope Inc.
• Casey Masalehdani, M.A., CCC-SLP, TSSLD
• Vicki Kumari Masson, M.D.
• Mat Medical Associates, P.C.

• Speech-Language Pathologist in Miller Place, NY
• Providers in Miller Place, 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 20, 2015; 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.