Marissa Rodriguez, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

020954 Issued in NY

Practice address

41 Yaphank Middle Island Rd
Middle Island, NY 11953

Phone

(631) 345-2173

NPI assigned

Jan 13, 2011

Last updated

Nov 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1760787212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 YAPHANK MIDDLE ISLAND RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532369",
            "telephone_number": "631-345-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 YAPHANK MIDDLE ISLAND RD",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "11953",
            "telephone_number": "631-345-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARISSA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "020954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGY PROFESSIONAL LICENSE",
            "identifier": "020954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlee Rizzo
• Melissa Marie Rizzuto
• Madeleine Robinson, R.N
• Michelle Robinson
• Alexa Nicole Rodriguez
• Michael Philip Rodriguez, MD
• Alissa Marie Roepken
• Cynthia A. Roesler, MA
• Marie Elizabeth Rosen, R.N.
• Marcell Rountree

• Speech-Language Pathologist in Middle Island, NY
• Providers in Middle Island, NY by specialty
• Speech-Language Pathologist in New York

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

Verify at the official NPI Registry.