Marc Aaron Berlin, M.A. – Speech-Language Pathologist

Key facts

NPI: 1609900737
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 011437 (NY)
Practice address: 71 The Promenade
Glen Head, NY 11545-1739
Phone: (917) 842-4822
NPI assigned: Mar 14, 2007
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

ENT and Allergy Associates LLP Otolaryngology Physician · Tarrytown, NY · NPI 1376598326

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
011437	NY	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
ENT and Allergy Associates LLP		Past since Jul 1, 2022	Accepting new patients

Interoperability endpoints

FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	011437	NY	Yes

Addresses

Primary practice location

71 The Promenade
Glen Head, NY 11545-1739

Mailing address

71 The Promenade
Glen Head, NY 11545-1739
Phone (917) 842-4822

Other providers in Glen Head, NY

All providers in Glen Head, NY · Speech-Language Pathologist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.