Maria Lisa Musacchio, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015141-1 Issued in NY

Practice address

79 Bayview Avenue
East Islip, NY 11730-1919

Phone

(631) 277-1674

NPI assigned

Oct 25, 2012

Last updated

Oct 25, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1649523887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 BAYVIEW AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117303100",
            "telephone_number": "631-277-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 BAYVIEW AVENUE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301919",
            "telephone_number": "631-277-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSACCHIO",
        "first_name": "MARIA",
        "middle_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015141-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Molinari, LMHC
• John Micheal Moore, LCSW
• Roger Paul Mott, L.C.S.W., CASAC
• Alixandra Taite Mulry, RN, BSN
• Stephanie J Murphy Johnson
• Emily Nadler, MA,LSP,C.C.C.,TSHH
• Danielle Josephine Natale, LMHC
• National Healthcare Supply LLC
• Kelly Anne Nawrath
• Nicole M Darrow DO P C

• Speech-Language Pathologist in East Islip, NY
• Providers in East Islip, 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 Oct 25, 2012; 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.