Individual provider Active NPI

Manuel Jose Marte

  • Speech-Language Pathologist
  • Ghent, NY
National Provider Identifier
1417434309
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
027010 Issued in NY
Practice address
1 Whitter Way
Ghent, NY 12075-3213
Phone
(518) 828-0800
NPI assigned
Jul 24, 2018
Last updated
Jul 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 027010 NY Primary

Addresses

Primary practice location

1 Whitter Way
Ghent, NY 12075-3213

Mailing address

1 Whitter Way
Ghent, NY 12075-3213
Phone (518) 828-0800

Other practice location 1

300 Grant Ave
Lake Katrine, NY 12449-5340
Phone (845) 336-3500 ext. 33257

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

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1417434309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WHITTER WAY",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753213",
            "telephone_number": "518-828-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHITTER WAY",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753213",
            "telephone_number": "518-828-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Katrine",
            "state": "NY",
            "postal_code": "124495340",
            "country_code": "US",
            "telephone_number": "845-336-3500 x33257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTE",
        "first_name": "MANUEL",
        "middle_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "027010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ghent, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.