Individual provider Active NPI

Norma T Borten, SLP, CCC

  • Speech-Language Pathologist
  • Merrick, NY
National Provider Identifier
1477848158
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3039 Issued in NY
Practice address
2671 Covered Bridge Rd
Merrick, NY 11566-4815
Phone
(516) 868-7275
NPI assigned
Jun 10, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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 3039 NY Primary

Addresses

Primary practice location

2671 Covered Bridge Rd
Merrick, NY 11566-4815

Mailing address

2671 Covered Bridge Rd
Merrick, NY 11566-4815
Phone (516) 868-7275

Other identifiers 1

IdentifierTypeStateIssuer
235Z00000XMedicaidNY

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

State licenses

LicenseStateTypeSpecialty
3039NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1477848158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 COVERED BRIDGE RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664815",
            "telephone_number": "516-868-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 COVERED BRIDGE RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664815",
            "telephone_number": "516-868-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTEN",
        "first_name": "NORMA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "SLP, CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "3039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235Z00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.