Active NPI
Marilyn Itzkowitz, M.A., CCC - SLP
- Speech-Language Pathologist
- Miami Beach, FL
National Provider Identifier
1467946145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA295
- Practice address
- 9 Island Ave Apt 506
Miami Beach, FL 33139-1356 - Phone
- (305) 720-3770
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA295 | FL | Primary |
Addresses
Primary practice location
9 Island Ave Apt 506
Miami Beach, FL 33139-1356
Mailing address
9 Island Ave Apt 506
Miami Beach, FL 33139-1356
Phone (305) 720-3770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118562900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230830000000 | FL | Practitioner - Qualified Speech Language Pathologist | 1658734223 | Practice locations: Miami Beach, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1467946145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ISLAND AVE APT 506",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391356",
"telephone_number": "305-720-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ISLAND AVE APT 506",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331391356",
"telephone_number": "305-720-3770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ITZKOWITZ",
"first_name": "MARILYN",
"credential": "M.A., CCC - SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118562900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.