Individual provider Active NPI

Marissa Verdi, MS CCC-SLP

  • Speech-Language Pathologist
  • Stony Brook, NY
National Provider Identifier
1689485138
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
035152 Issued in NY
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

Updated by the provider on Jan 15, 2025

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 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

LicenseStateTypeSpecialty
035152NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Suffolk Speech Pathology & Swallowing Disorder Services of L.I., P Speech-Language Pathologist PastSince Aug 13, 2023 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 PastSince Aug 31, 2010 Accepting new patients
Speech Pathology & Swallowing Disorder Services of Nassau, P.C. Speech-Language Pathologist PastSince Aug 13, 2023 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.

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.

Verify at the official NPI Registry.