Individual provider Active NPI

Erica Morella, M.S CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1497313944
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029830 Issued in NY
Practice address
45 Waverly PL
Staten Island, NY 10304-2287
Phone
(929) 560-8052
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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 029830 NY Primary

Addresses

Primary practice location

45 Waverly PL
Staten Island, NY 10304-2287

Mailing address

45 Waverly PL
Staten Island, NY 10304-2287
Phone (929) 560-8052

Other practice location 1

1110 South Ave
Staten Island, NY 10314-3403
Phone (866) 707-8669

Other names 1

  • Ms. Erica Haber Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
029830NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1497313944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WAVERLY PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042287",
            "telephone_number": "929-560-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WAVERLY PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042287",
            "telephone_number": "929-560-8052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 South Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103143403",
            "country_code": "US",
            "telephone_number": "866-707-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORELLA",
        "first_name": "ERICA",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "HABER",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP, TSSLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; 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.