Individual provider Active NPI

Maria Baeza, SLP

  • Speech-Language Pathologist
  • Scarsdale, NY
National Provider Identifier
1700186301
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
019840-1 Issued in NY
Practice address
155 Garth Rd
Apt. 4B
Scarsdale, NY 10583-3858
Phone
(914) 574-5736
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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 019840-1 NY Primary

Addresses

Primary practice location

155 Garth Rd
Apt. 4B
Scarsdale, NY 10583-3858

Mailing address

155 Garth Rd
Apt. 4B
Scarsdale, NY 10583-3858
Phone (914) 574-5736

Other names 1

  • Maria Eugenia Baeza-de la Rosa 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

State licenses

LicenseStateTypeSpecialty
019840-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1700186301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GARTH RD",
            "address_2": "APT. 4B",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833858",
            "telephone_number": "914-574-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GARTH RD",
            "address_2": "APT. 4B",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833858",
            "telephone_number": "914-574-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZA",
        "first_name": "MARIA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "019840-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "BAEZA-DE LA ROSA",
            "middle_name": "EUGENIA",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.