Marcia Blatt, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003678 Issued in NY

Practice address

865 Hawkins Ave
Lake Grove, NY 11755-3217

Phone

(631) 471-1800

NPI assigned

Sep 27, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1598192114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SCHOOL STREET",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "11779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 HAWKINS AVE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117553217",
            "telephone_number": "631-471-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATT",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116003118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Keith Bernstein, DC
• Patricia Bernstein, N.P.P.
• Derek Bershad, PT, DPT
• Melissa Ann Biamonte, OT REGISTERED
• Jacques S. J. Blanchard, D.P.T.,
• Robert Joseph Boswell, MD
• Mario Brajuha, LMSW
• Edward M Bram, D.M.D.
• Robert Branca, DDS
• Dawn P Brauer, M.S.P.T., C.I.M.I.

• Speech-Language Pathologist in Lake Grove, NY
• Providers in Lake Grove, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.