Individual provider Active NPI

Martha Maruja Benigno Paredes

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1376826776
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
020593-1 Issued in NY
Practice address
814 Knickerbocker Ave Apt 2L
Brooklyn, NY 11207-1346
Phone
(347) 666-5350
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 020593-1 NY Primary

Addresses

Primary practice location

814 Knickerbocker Ave Apt 2L
Brooklyn, NY 11207-1346

Mailing address

814 Knickerbocker Ave Apt 2L
Brooklyn, NY 11207-1346
Phone (347) 666-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
020593-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1376826776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 KNICKERBOCKER AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071346",
            "telephone_number": "347-666-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 KNICKERBOCKER AVE APT 2L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112071346",
            "telephone_number": "347-666-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENIGNO PAREDES",
        "first_name": "MARTHA",
        "middle_name": "MARUJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020593-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.