Individual provider Active NPI

Marie Carnivale, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Garden City, NY
National Provider Identifier
1851782932
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024463-1 Issued in NY
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

Updated by the provider on Feb 11, 2015

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 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

LicenseStateTypeSpecialty
024463-1NYMDDentist

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.

Verify at the official NPI Registry.