Active NPI
Marina Vazura, MA, CCC-SLP, TSSLD
- Speech-Language Pathologist
- Little Neck, NY
National Provider Identifier
1740796739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 5160 Marathon Pkwy
Little Neck, NY 11362-1719 - Phone
- (718) 423-8138
- NPI assigned
- Dec 28, 2017
- Last updated
- Sep 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
5160 Marathon Pkwy
Little Neck, NY 11362-1719
Mailing address
13812 68TH Dr Unit 1
Flushing, NY 11367-1633
Phone (347) 828-3498
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marina Vazura Speech & Language Corp. | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Queens Village, NY
- NPI 1124604384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536969600000",
"number": "1740796739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13812 68TH DR UNIT 1",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671633",
"telephone_number": "347-828-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5160 MARATHON PKWY",
"city": "LITTLE NECK",
"state": "NY",
"postal_code": "113621719",
"telephone_number": "718-423-8138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZURA",
"first_name": "MARINA",
"credential": "MA, CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-28",
"last_updated": "2018-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.