New York Neurogenic Speech-Language Pathology, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

016751-1 Issued in NY

Legal business name

NEW YORK NEUROGENIC SPEECH-LANGUAGE PATHOLOGY, P.C.

Practice address

32 Jasmine LN
Kings Park, NY 11754-3925

Phone

(917) 952-0633

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Marissa A. Barrera, MS, CCC-SLPNPI 1396960837

Title

Owner, Speech-Language Pathologist

Phone

(917) 952-0633

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marissa A Barrera, MS, CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1396960837
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1639306046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 JASMINE LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543925",
            "telephone_number": "917-952-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 JASMINE LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543925",
            "telephone_number": "917-952-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK NEUROGENIC SPEECH-LANGUAGE PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-952-0633",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016751-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Moss, LAC
• Kelly Veronica Mullen, N.P.
• Barry Francis Mulligan, DDS
• Marykate Murphy
• Natural Wellness Medicine PLLC
• Northside Chiropractic Center
• Christine Mary Nugent, OTR
• Elizabeth Nunez
• Kimberly M Nunziata, LMT
• Joan O'Connor, LMHC

• Speech-Language Pathologist in Kings Park, NY
• Providers in Kings Park, 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 Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.