Active NPI
Mary Elizabeth Griffin, MS-SPEECH PATHOLOGY
- Speech-Language Pathologist
- Deer Park, NY
National Provider Identifier
1396018669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004357-1
- Practice address
- 1881 Deer Park Ave
Deer Park Union Free School District
Deer Park, NY 11729 - Phone
- (631) 274-4001
- Fax
- (631) 242-6762
- NPI assigned
- Feb 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004357-1 | NY | Primary |
Addresses
Primary practice location
1881 Deer Park Ave
Deer Park Union Free School District
Deer Park, NY 11729
Mailing address
1881 Deerk Park Avenue
Deer Park Union Free School District
Deer Park, NY 11729
Phone (631) 274-4001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004357-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1396018669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 DEERK PARK AVENUE",
"address_2": "DEER PARK UNION FREE SCHOOL DISTRICT",
"city": "DEER PARK",
"state": "NY",
"postal_code": "11729",
"telephone_number": "631-274-4001",
"fax_number": "631-242-6762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 DEER PARK AVE",
"address_2": "DEER PARK UNION FREE SCHOOL DISTRICT",
"city": "DEER PARK",
"state": "NY",
"postal_code": "11729",
"telephone_number": "631-274-4001",
"fax_number": "631-242-6762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS-SPEECH PATHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-17",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004357-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.