Marissa G D'Urso

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011863 Issued in GA

Practice address

1155 Pleasant Valley Way
West Orange, NJ 07052-1424

Phone

(973) 731-5100

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marissa Chin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1891342879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 SE ABCOR RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525649",
            "telephone_number": "908-839-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070521424",
            "telephone_number": "973-731-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'URSO",
        "first_name": "MARISSA",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "CHIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alisa G. Cullen, PA-C
• Kristen Cunningham
• Cypress Health Institute of New Jersey
• Yolanda Czerniawski, O.D.
• Kelly Elizabeth D'Urso, PTDPTNCS
• Theodore R Dacosta, DO
• Courtney Dalebroux
• Nicholas Dalonzo, PT, DPT
• Daniel Edelman, Psy.D.P.C.
• Megan Daniels

• Speech-Language Pathologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.