Individual provider Active NPI

Maria A Lorenzana, MA, CCC-SLP

  • Speech-Language Pathologist
  • East Elmhurst, NY
National Provider Identifier
1780812206
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009640-1 Issued in NY
Practice address
3136 88TH St
East Elmhurst, NY 11369-1415
Phone
(718) 205-1919
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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 009640-1 NY Primary

Addresses

Primary practice location

3136 88TH St
East Elmhurst, NY 11369-1415

Mailing address

36 Meadowfarm Rd
Manhasset Hills, NY 11040-1047
Phone (516) 352-4643

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

State licenses

LicenseStateTypeSpecialty
009640-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Children's Services Past Accepting new patients
Jackson Developmental Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1780812206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MEADOWFARM RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "110401047",
            "telephone_number": "516-352-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 88TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691415",
            "telephone_number": "718-205-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZANA",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009640-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.