Individual provider Active NPI

Marci L Goldowsky, CCC-SLP

  • Speech-Language Pathologist
  • Canton, MA
National Provider Identifier
1912027319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4671 Issued in MA
Practice address
16 Lexington St
Canton, MA 02021-3642
Phone
(781) 575-0203
Fax
(781) 575-0203
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4671 MA Primary

Addresses

Primary practice location

16 Lexington St
Canton, MA 02021-3642

Mailing address

16 Lexington St
Canton, MA 02021-3642
Phone (781) 575-0203

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

LicenseStateTypeSpecialty
4671MAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912027319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 LEXINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213642",
            "telephone_number": "781-575-0203",
            "fax_number": "781-575-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LEXINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213642",
            "telephone_number": "781-575-0203",
            "fax_number": "781-575-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDOWSKY",
        "first_name": "MARCI",
        "middle_name": "L",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "4671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.