Marla Guariglia Lustig, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00172200 Issued in NJ

Practice address

83 Old Tpke
Oldwick, NJ 08858-7001

Phone

(908) 439-9636

Fax

(908) 439-2338

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

Practice roles

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.

• Mane Stream, Inc.

  • Rehabilitation Clinic/Center
  • Oldwick, NJ
  • NPI 1245623263
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1649762048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "OLDWICK",
            "state": "NJ",
            "postal_code": "088580305",
            "telephone_number": "908-439-9636",
            "fax_number": "908-439-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 OLD TPKE",
            "city": "OLDWICK",
            "state": "NJ",
            "postal_code": "088587001",
            "telephone_number": "908-439-9636",
            "fax_number": "908-439-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTIG",
        "first_name": "MARLA",
        "middle_name": "GUARIGLIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00172200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Halliwell, DSC, OTR/L
• Stephanie Haymaker, PH.D.
• Legacy Treatment Services
• Deborah Z. Libero, PH.D.
• Katrina Low-Beer
• Mane Stream, Inc.
• Charles B Mark, PSY.D.
• Tracy A. Menzie, LP
• Oldwick Cosmetic & Family Dentistry - Oldwick
• Linda S Oniki, MSW

• Speech-Language Pathologist in Oldwick, NJ
• Providers in Oldwick, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.