Active NPI
Marissa Verdi, MS CCC-SLP
- Speech-Language Pathologist
- Stony Brook, NY
National Provider Identifier
1689485138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 035152
- Practice address
- 213 Hallock Rd Ste 6
Stony Brook, NY 11790-3000 - Phone
- (631) 689-6858
- NPI assigned
- Jan 15, 2025
- Sex
- Female
- 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 | 035152 | NY | Primary |
Addresses
Primary practice location
213 Hallock Rd Ste 6
Stony Brook, NY 11790-3000
Mailing address
3600 Ivy Dr
Bethpage, NY 11714-3316
Phone (516) 491-5200
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 |
|---|---|---|---|
| 035152 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid Suffolk Speech Pathology & Swallowing Disorder Services of L.I., P | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Pathology & Swallowing Disorder Services of L.I., P.C. | Speech-Language Pathologist | Past | Accepting new patients |
| Eastern Li Speech Pathology &Swallowing Disorders PC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Pathology & Swallowing Disorder Services of Nassau, P.C. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- East Yaphank, NY
- NPI 1851694483
-
- Speech-Language Pathologist
- Commack, NY
- NPI 1437832920
-
- Speech-Language Pathologist
- New Hyde Park, NY
- NPI 1396428892
-
- Speech-Language Pathologist
- Wantagh, NY
- NPI 1417630914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1689485138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 IVY DR",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117143316",
"telephone_number": "516-491-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 HALLOCK RD STE 6",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117903000",
"telephone_number": "631-689-6858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDI",
"first_name": "MARISSA",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-15",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "035152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.