Active NPI
Marie Carnivale, M.A. CCC-SLP
- Speech-Language Pathologist
- Garden City, NY
National Provider Identifier
1851782932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 024463-1
- Practice address
- 1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691 - Phone
- (516) 512-8905
- Fax
- (516) 543-0664
- NPI assigned
- Feb 11, 2015
- 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 | 024463-1 | NY | Primary |
Addresses
Primary practice location
1225 Franklin Ave
Suite 325
Garden City, NY 11530-1691
Mailing address
174 Cleveland Ave
Rockville Centre, NY 11570-6032
Phone (516) 510-1609
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
| License | State | Type | Specialty |
|---|---|---|---|
| 024463-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1851782932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 CLEVELAND AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115706032",
"telephone_number": "516-510-1609",
"fax_number": "516-705-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 FRANKLIN AVE",
"address_2": "SUITE 325",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301691",
"telephone_number": "516-512-8905",
"fax_number": "516-543-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARNIVALE",
"first_name": "MARIE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-11",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "024463-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.