Active NPI
Martin Gerald Geraghty, MS, CCC-SLP
- Speech-Language Pathologist
- New City, NY
National Provider Identifier
1669902300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026713-1
- Practice address
- 260 N Little Tor Rd
New City, NY 10956-2627 - Phone
- (845) 708-2000
- Fax
- (845) 634-7731
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026713-1 | NY | Primary |
Addresses
Primary practice location
260 N Little Tor Rd
New City, NY 10956-2627
Mailing address
28 Edgewater Dr
Mastic Beach, NY 11951-2102
Phone (845) 548-2529
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026713-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497484800000",
"number": "1669902300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 EDGEWATER DR",
"city": "MASTIC BEACH",
"state": "NY",
"postal_code": "119512102",
"telephone_number": "845-548-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 N LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562627",
"telephone_number": "845-708-2000",
"fax_number": "845-634-7731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERAGHTY",
"first_name": "MARTIN",
"middle_name": "GERALD",
"name_prefix": "Mr.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-15",
"last_updated": "2017-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026713-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.