Individual provider Active NPI

Marina Belilovskiy, MS CCC SLP

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1619110632
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016938 Issued in NY
Practice address
550 Dongan Hills Ave
Staten Island, NY 10305-3337
Phone
(917) 306-3347
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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 016938 NY Primary

Addresses

Primary practice location

550 Dongan Hills Ave
Staten Island, NY 10305-3337

Mailing address

550 Dongan Hills Ave
Staten Island, NY 10305-3337
Phone (718) 667-3349

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
016938NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marina's Speech Island SLP, PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1619110632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 DONGAN HILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053337",
            "telephone_number": "718-667-3349",
            "fax_number": "718-667-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 DONGAN HILLS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053337",
            "telephone_number": "917-306-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELILOVSKIY",
        "first_name": "MARINA",
        "name_prefix": "Mr.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 7, 2009; 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.