Active NPI
Danielle Martin, MS, CCC-SLP
- Speech-Language Pathologist
- Melville, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 225 Broadhollow Rd Ste 402
Melville, NY 11747-4899 - Phone
- (631) 385-7780
- Fax
- (631) 385-7795
- NPI assigned
- Mar 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | NY | Primary |
Addresses
Primary practice location
225 Broadhollow Rd Ste 402
Melville, NY 11747-4899
Mailing address
20 Hemlock Cir
Peekskill, NY 10566-4960
Phone (914) 417-0583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 E Gate Blvd
Garden City, NY 11530-2105
Phone (516) 745-8070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030764 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
805 Broadway
Ste 100
Amityville, NY 11701
Phone (631) 608-8874
800 E Gate Blvd
Garden City, NY 11530
50 Glen Cove Rd
Greenvale, NY 11548
Phone (516) 200-3545
11701 84th Ave
Richmond Hill, NY 11418
Phone (718) 441-0300
Organizations & group practices 1
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.
-
- Occupational Therapist
- Garden City, NY
- NPI 1356742365
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1891290706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 HEMLOCK CIR",
"city": "PEEKSKILL",
"state": "NY",
"postal_code": "105664960",
"telephone_number": "914-417-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BROADHOLLOW RD STE 402",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474899",
"telephone_number": "631-385-7780",
"fax_number": "631-385-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DANIELLE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-24",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.