Organization Active NPI

Marina's Speech Island SLP, PC

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1417244526
Registry record updated Jul 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
016938 Issued in NY
Legal business name
MARINA'S SPEECH ISLAND SLP, PC
Practice address
550 Dongan Hills Ave
Staten Island, NY 10305-3337
Phone
(917) 306-3347
Fax
(718) 667-3349
NPI assigned
Jul 9, 2011
Last updated
Jul 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2011

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

Authorized official

Name
Mrs. Marina Belilovskiy, MS CCC-SLPNPI 1619110632
Title
President
Phone
(917) 306-3347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 016938 NY Primary

Addresses

Primary practice location

550 Dongan Hills Ave
Staten Island, NY 10305-3337

Mailing address

550 Dongan Hills Ave
Staten Island, NY 10305-3337
Phone (917) 306-3347

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310169600000",
    "number": "1417244526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DONGAN HILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053337",
            "telephone_number": "917-306-3347",
            "fax_number": "718-667-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DONGAN HILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053337",
            "telephone_number": "917-306-3347",
            "fax_number": "718-667-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA'S SPEECH ISLAND SLP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2011-07-09",
        "status": "A",
        "authorized_official_last_name": "BELILOVSKIY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-306-3347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "016938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.