Active NPI
Carolyn Anne Merante, CCC-SLP
- Speech-Language Pathologist
- Syracuse, NY
National Provider Identifier
1609156629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 013497-BEING REACTIV
- Practice address
- 1744 W Genesee St
Syracuse, NY 13204 - Phone
- (315) 468-3414
- Fax
- (315) 468-2089
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 013497-BEING REACTIV | NY | Primary |
Addresses
Primary practice location
1744 W Genesee St
Syracuse, NY 13204
Mailing address
106 Flint Path
Syracuse, NY 13219-3404
Phone (315) 657-4428
Other practice location 1
1744 W Genesee St
Syracuse, NY 13204-1902
Phone (315) 468-3414
Other practice location 2
20 Castle Dr
Pulaski, NY 13142-4817
Phone (315) 298-5070
Other names 1
- Miss Carolyn Anne Bazan
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 |
|---|---|---|---|
| 013497-BEING REACTIV | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1609156629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 FLINT PATH",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132193404",
"telephone_number": "315-657-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 W GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13204",
"telephone_number": "315-468-3414",
"fax_number": "315-468-2089"
}
],
"practiceLocations": [
{
"address_1": "1744 W Genesee St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132041902",
"country_code": "US",
"telephone_number": "315-468-3414",
"fax_number": "315-468-2089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Castle Dr",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "NY",
"postal_code": "131424817",
"country_code": "US",
"telephone_number": "315-298-5070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERANTE",
"first_name": "CAROLYN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "013497-BEING REACTIV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "BAZAN",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.