Marissa Ann Labarbera

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

Practice address

1737 Veterans Memorial Hwy Ste 1
Islandia, NY 11749-1529

Phone

(631) 479-2900

NPI assigned

Nov 27, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Marra & Glick Applied Behavior Analysts, PLLC

  • Behavior Analyst
  • Islandia, NY
  • NPI 1770989956
  NPD (past)

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1376189183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SEDGEWICK LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903105",
            "telephone_number": "631-689-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 VETERANS MEMORIAL HWY STE 1",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491529",
            "telephone_number": "631-479-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARBERA",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Islandia",
            "affiliation": "N",
            "address_1": "15 Sedgewick Ln",
            "city": "Stony Brook",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117903105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexia Komitopoulos
• Salima Koubek, FNP
• Isabelle Kovacs
• Jayaraj S Kumar, MD
• Jacob Kurian, MS,PT
• Cossette Lacy, PT
• Allison Leigh Lasner, M.D.
• Janet Ellen Lavelle, LCSW
• William E Lawson, M.D.
• Lillian Lawton-Hernandez, PNP

• Technician/Technologist in Islandia, NY
• Providers in Islandia, NY by specialty
• Technician/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.