Individual provider Active NPI

Madeline M Paciga, M.ED. SLP-CCC

  • Speech-Language Pathologist
  • Liberty, NY
National Provider Identifier
1841568995
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
006656-1 Issued in NY
Practice address
6 Wierk Ave
Liberty, NY 12754-2117
Phone
(845) 292-5618
NPI assigned
Dec 5, 2011
Last updated
Dec 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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 006656-1 NY Primary

Addresses

Primary practice location

6 Wierk Ave
Liberty, NY 12754-2117

Mailing address

369 Callicoon Center Rd
Jeffersonville, NY 12748-6520
Phone (845) 482-3021

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 Education

State licenses

LicenseStateTypeSpecialty
006656-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1841568995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 CALLICOON CENTER RD",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "127486520",
            "telephone_number": "845-482-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WIERK AVE",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542117",
            "telephone_number": "845-292-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACIGA",
        "first_name": "MADELINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.ED. SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006656-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.