Individual provider Active NPI

Mary Margaret Csorny, MA-CCC-SLP

  • Speech-Language Pathologist
  • Central Islip, NY
National Provider Identifier
1497026090
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006862-1 Issued in NY
Practice address
1 Broadway
Mulligan Elementary
Central Islip, NY 11722
Phone
(631) 348-5042
NPI assigned
Jan 13, 2012
Reactivated
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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 006862-1 NY Primary

Addresses

Primary practice location

1 Broadway
Mulligan Elementary
Central Islip, NY 11722

Mailing address

1 Broadway
Mulligan Elementary
Central Islip, NY 11722
Phone (631) 348-5042

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
006862-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1497026090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROADWAY",
            "address_2": "MULLIGAN ELEMENTARY",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "11722",
            "telephone_number": "631-348-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY",
            "address_2": "MULLIGAN ELEMENTARY",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "11722",
            "telephone_number": "631-348-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSORNY",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "MA-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-05-01",
        "deactivation_date": "2012-02-27",
        "reactivation_date": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006862-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.