Individual provider Active NPI

Marisa Ann Reebe, MS, CCC-SLP, TSHH

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1699962647
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016148-1 Issued in NY
Practice address
58 Summit St
P.S.1
Staten Island, NY 10307-1832
Phone
(718) 984-0960
Fax
(718) 984-3389
NPI assigned
Oct 3, 2007
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 016148-1 NY Primary

Addresses

Primary practice location

58 Summit St
P.S.1
Staten Island, NY 10307-1832

Mailing address

58 Summit St
P.S.1
Staten Island, NY 10307-1832
Phone (718) 984-0960

Other names 1

  • Miss Marisa Ann Calabrese, Calabrese-Romano Former name

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
016148-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1699962647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SUMMIT ST",
            "address_2": "P.S.1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071832",
            "telephone_number": "718-984-0960",
            "fax_number": "718-984-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SUMMIT ST",
            "address_2": "P.S.1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071832",
            "telephone_number": "718-984-0960",
            "fax_number": "718-984-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEBE",
        "first_name": "MARISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP, TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016148-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "CALABRESE, CALABRESE-ROMANO",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MS, CCC-SLP, TSHH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.