Active NPI
Marina's Speech Island SLP, PC
- Early Intervention Provider Agency
- Staten Island, NY
National Provider Identifier
1417244526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 016938
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marina Belilovskiy, MS CCC-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Staten Island, NY
- NPI 1619110632
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.