Individual provider Active NPI

Marah Vanbeekom

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1467907469
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2116 Ditmas Ave
Apt 5G
Brooklyn, NY 11226-6964
Phone
(917) 455-7658
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 Primary

Addresses

Primary practice location

2116 Ditmas Ave
Apt 5G
Brooklyn, NY 11226-6964

Mailing address

2116 Ditmas Ave
Apt 5G
Brooklyn, NY 11226-6964
Phone (917) 455-7658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000432 NY Practitioner - Qualified Speech Language Pathologist 6103315759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4028 Ave K
Brooklyn, NY 11210-4945

80 Maiden LN
8TH
New York, NY 10038-4837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Medical Professional Services Speech-Language Pathologist CurrentSince Oct 28, 2025 Accepting new patients

Locations

80 Maiden Ln
Fl 8
New York, NY 10038
Phone (347) 971-2368

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1467907469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 DITMAS AVE",
            "address_2": "APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266964",
            "telephone_number": "917-455-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 DITMAS AVE",
            "address_2": "APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112266964",
            "telephone_number": "917-455-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEEKOM",
        "first_name": "MARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.