Individual provider Active NPI

Mary Cronin

  • Speech-Language Pathologist
  • New Hyde Park, NY
National Provider Identifier
1811769680
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029513 Issued in NY
Practice address
2001 Marcus Ave Ste 4010
New Hyde Park, NY 11042-2061
Phone
(516) 216-1791
NPI assigned
Oct 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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 029513 NY Primary

Addresses

Primary practice location

2001 Marcus Ave Ste 4010
New Hyde Park, NY 11042-2061

Mailing address

2001 Marcus Ave Ste 4010
New Hyde Park, NY 11042-2061

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
029513NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Pathology & Swallowing Disorder Services of Nassau, P.C. Speech-Language Pathologist PastSince Aug 13, 2023 Accepting new patients
Mid Suffolk Speech Pathology & Swallowing Disorder Services of L.I., P Speech-Language Pathologist PastSince Aug 13, 2023 Accepting new patients
Eastern Li Speech Pathology &Swallowing Disorders PC Speech-Language Pathologist PastSince Aug 31, 2010 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1811769680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE 4010",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE 4010",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422061",
            "telephone_number": "516-216-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.