Active NPI
Carol Denise Di Marco
- Speech-Language Pathologist
- Fresh Meadows, NY
National Provider Identifier
1497299713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004492-1
- Practice address
- 5637 188TH St
Fresh Meadows, NY 11365-2230 - Phone
- (718) 357-4650
- NPI assigned
- Dec 5, 2016
- 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 | 004492-1 | NY | Primary |
Addresses
Primary practice location
5637 188TH St
Fresh Meadows, NY 11365-2230
Mailing address
15744 26TH Ave
Flushing, NY 11354-1520
Phone (718) 746-8126
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004492-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1497299713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15744 26TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541520",
"telephone_number": "718-746-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5637 188TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113652230",
"telephone_number": "718-357-4650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI MARCO",
"first_name": "CAROL",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004492-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresh Meadows, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.