Individual provider Active NPI

Maria Lorena Martin, SLP,TSLD,BE-SPANISH

  • Speech-Language Pathologist
  • Bedford Hills, NY
National Provider Identifier
1568615490
Registry record updated Sep 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015682-1 Issued in NY
Practice address
208 Harris Rd Apt HB7
Bedford Hills, NY 10507-2130
Phone
(914) 562-0310
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 015682-1 NY Primary

Addresses

Primary practice location

208 Harris Rd Apt HB7
Bedford Hills, NY 10507-2130

Mailing address

208 Harris Rd Apt HB7
Bedford Hills, NY 10507-2130
Phone (914) 562-0310

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
015682-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348963200000",
    "number": "1568615490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 HARRIS RD APT HB7",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072130",
            "telephone_number": "914-562-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 HARRIS RD APT HB7",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072130",
            "telephone_number": "914-562-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARIA",
        "middle_name": "LORENA",
        "name_prefix": "Mrs.",
        "credential": "SLP,TSLD,BE-SPANISH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2012-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015682-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.