Active NPI
Marina Fagone, MS, CF-SLP
- Speech-Language Pathologist
- Burlington, MA
National Provider Identifier
1831744952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 41 Burlington Mall Road
Burlington, MA 01805-8438 - Phone
- (781) 744-8450
- NPI assigned
- Aug 6, 2019
- 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
41 Burlington Mall Road
Burlington, MA 01805-8438
Mailing address
37 Egan Ter
Dedham, MA 02026-7032
Other practice location 1
465 Waverley Oaks Rd
Waltham, MA 02452-8438
Phone (781) 894-6564
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1831744952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 EGAN TER",
"city": "DEDHAM",
"state": "MA",
"postal_code": "020267032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 BURLINGTON MALL ROAD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018058438",
"telephone_number": "781-744-8450"
}
],
"practiceLocations": [
{
"address_1": "465 Waverley Oaks Rd",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024528438",
"country_code": "US",
"telephone_number": "781-894-6564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAGONE",
"first_name": "MARINA",
"credential": "MS, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.