Marine Pascale Putman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026309 Issued in NY

Practice address

284 Baltic St
Brooklyn, NY 11201-6402

Phone

(718) 330-9390

NPI assigned

Dec 5, 2016

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": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1346784741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BALTIC ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016402",
            "telephone_number": "718-330-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 BALTIC ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016402",
            "telephone_number": "718-330-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Cheever Pl",
            "address_2": "#2",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112313005",
            "country_code": "US",
            "telephone_number": "347-684-1767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "MARINE",
        "middle_name": "PASCALE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urszula Barbara Pustelak, M.D.
• Tetyana Pustovit
• Irena Pustylnik-Slyuseransky, PHARMD
• Raisa Pustylnikov, M.D.
• Philip Joseph Puthumana, M.D.
• William Erskine Putman, M.D., FACP
• Putnam Chiropractic, P.C.
• Talia Putnoi
• Barbara Putre, RDN-CDN-CDE
• Ellen C Putter, MD

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 6, 2020; 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.