NPIMap

Organization Active NPI

Marissa Resnick, Ms, Ed, LLC

  • Early Intervention Provider Agency
  • Jericho, NY
National Provider Identifier
1700313947
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MARISSA RESNICK, MS, ED, LLC
Practice address
2 Otsego PL
Jericho, NY 11753-1406
Phone
(516) 830-1721
NPI assigned
May 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marissa Nicole Resnick
Title
Special Education Teacher
Phone
(516) 830-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2 Otsego PL
Jericho, NY 11753-1406

Mailing address

2 Otsego PL
Jericho, NY 11753-1406
Phone (516) 830-1721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700313947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OTSEGO PL",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531406",
            "telephone_number": "516-830-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OTSEGO PL",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531406",
            "telephone_number": "516-830-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA RESNICK, MS, ED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "516-830-1721"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.