Individual provider Active NPI

Marci Jones Macaluso, SLP

  • Speech-Language Pathologist
  • South Salem, NY
National Provider Identifier
1659525343
Registry record updated Nov 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008249 Issued in NY
Practice address
27 Lake Shore Dr
South Salem, NY 10590-1311
Phone
(914) 763-2472
Fax
(212) 213-6332
NPI assigned
Nov 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2008

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 008249 NY Primary

Addresses

Primary practice location

27 Lake Shore Dr
South Salem, NY 10590-1311

Mailing address

27 Lake Shore Dr
South Salem, NY 10590-1311
Phone (914) 763-2472

Other identifiers 1

IdentifierTypeStateIssuer
008249OtherNYNEW YORK STATE

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
008249NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226102400000",
    "number": "1659525343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LAKE SHORE DR",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901311",
            "telephone_number": "914-763-2472",
            "fax_number": "212-213-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 LAKE SHORE DR",
            "city": "SOUTH SALEM",
            "state": "NY",
            "postal_code": "105901311",
            "telephone_number": "914-763-2472",
            "fax_number": "212-213-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALUSO",
        "first_name": "MARCI",
        "middle_name": "JONES",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-08",
        "last_updated": "2008-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE",
            "identifier": "008249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Salem, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2008; 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.