Active NPI
Shavon L. Marsh
- Speech-Language Pathologist
- Lindenhurst, NY
National Provider Identifier
1891871117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 58 016133
- Practice address
- 471 43Rd St
Lindenhurst, NY 11757-2306 - Phone
- (631) 225-7038
- NPI assigned
- Oct 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 57 002119 | NY | |
| Speech-Language Pathologist | 235Z00000X | 58 016133 | NY | Primary |
Addresses
Primary practice location
471 43Rd St
Lindenhurst, NY 11757-2306
Mailing address
471 43Rd St
Lindenhurst, NY 11757-2306
Phone (631) 225-7038
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57 002119 | NY | MD | Audiologist |
| 58 016133 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S & S Child Care Development Inc | Past | Accepting new patients |
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.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Lindenhurst, NY
- NPI 1558737890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1891871117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 43RD ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117572306",
"telephone_number": "631-225-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 43RD ST",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117572306",
"telephone_number": "631-225-7038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSH",
"first_name": "SHAVON",
"middle_name": "L.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "57 002119",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58 016133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.