Individual provider Active NPI

Christina Ann Marcley, MA CCC-SLP

  • Speech-Language Pathologist
  • Mohegan Lake, NY
National Provider Identifier
1700039344
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009933 Issued in NY
Practice address
65 Tennis Court LN
Mohegan Lake, NY 10547-1216
Phone
(914) 603-3264
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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 009933 NY Primary

Addresses

Primary practice location

65 Tennis Court LN
Mohegan Lake, NY 10547-1216

Mailing address

65 Tennis Court LN
Mohegan Lake, NY 10547-1216
Phone (914) 603-3264

Other identifiers 1

IdentifierTypeStateIssuer
009933OtherNYCHRISTINA ANN RUGGIANO-MARCLEY, MA, CCC-SLP, TSHH

Other names 1

  • Ms. Christina Ann Ruggiano-Marcley Professional 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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1700039344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 TENNIS COURT LN",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471216",
            "telephone_number": "914-603-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TENNIS COURT LN",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471216",
            "telephone_number": "914-603-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCLEY",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRISTINA ANN RUGGIANO-MARCLEY, MA, CCC-SLP, TSHH",
            "identifier": "009933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "RUGGIANO-MARCLEY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mohegan Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.