Mary Jeanine Slovak, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

010865-1 Issued in NY

Practice address

205 7TH St
Laurel, NY 11948-1628

Phone

(631) 298-4272

Fax

(631) 298-4272

NPI assigned

Oct 29, 2008

Last updated

Oct 29, 2008By the provider in NPPES

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

Other names 1

• Mary Finora Slovak Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225238400000",
    "number": "1407009848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 7TH ST",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481628",
            "telephone_number": "631-298-4272",
            "fax_number": "631-298-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 7TH ST",
            "city": "LAUREL",
            "state": "NY",
            "postal_code": "119481628",
            "telephone_number": "631-298-4272",
            "fax_number": "631-298-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVAK",
        "first_name": "MARY",
        "middle_name": "JEANINE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "010865-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SLOVAK",
            "middle_name": "FINORA",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa M Macaluso, M.A., BCBA
• Katelynn Moisa, M.S.
• Maureen Novak, L.P.N.
• Anne E O'Rourke
• Carla Marie Pellegrino, RPH
• Sound Vision Facility and Home Care LLC
• Susan Mary Ulrich, M.S.
• Sharon A Valek, L.P.N., RN

• Pediatric Physical Therapist in Laurel, NY
• Providers in Laurel, NY by specialty
• Pediatric Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.