Marina Xinogalos

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

939013151 Issued in NY

Practice address

15022 21St Ave
Whitestone, NY 11357-3608

Phone

(718) 704-9787

NPI assigned

Oct 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1902209646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15022 21ST AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573608",
            "telephone_number": "347-494-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15022 21ST AVE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573608",
            "telephone_number": "718-704-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XINOGALOS",
        "first_name": "MARINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "939075151",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "VA",
            "license": "PGP-0654684",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "939013151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie M Woodson
• Craig Louis Wright
• Melinda Wu
• Shernelle Wyllie
• Fxikis Xikis
• Christopher Yan
• Jie Yang, RN
• Ruiqi Yang
• Yee Way Yap
• Kevin Yau, OTR/L

• Developmental Therapist in Whitestone, NY
• Providers in Whitestone, NY by specialty
• Developmental Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.