Individual provider Active NPI

Marie Fay Richardson, MACCC-SLP

  • Speech-Language Pathologist
  • Oakland Gardens, NY
National Provider Identifier
1649571050
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015010 Issued in NY
Practice address
6445 218TH St
Oakland Gardens, NY 11364-2237
Phone
(718) 423-8395
Fax
(718) 423-8472
NPI assigned
Nov 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 015010 NY Primary

Addresses

Primary practice location

6445 218TH St
Oakland Gardens, NY 11364-2237

Mailing address

6445 218TH St
Oakland Gardens, NY 11364-2237
Phone (718) 423-8395

Other names 1

  • Marie Fay Arbetinos Former name

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

LicenseStateTypeSpecialty
015010NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1649571050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 218TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642237",
            "telephone_number": "718-423-8395",
            "fax_number": "718-423-8472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 218TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642237",
            "telephone_number": "718-423-8395",
            "fax_number": "718-423-8472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "MARIE FAY",
        "credential": "MACCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-16",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE FAY",
            "last_name": "ARBETINOS",
            "credential": "MACCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.