Marjorie Bartholomew, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010280-1 Issued in NY

Practice address

423 Old Town Rd
Port Jefferson Station, NY 11776-3624

Phone

(631) 473-5431

Fax

(631) 473-5431

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922134097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 OLD TOWN RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763624",
            "telephone_number": "631-473-5431",
            "fax_number": "631-473-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 OLD TOWN RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763624",
            "telephone_number": "631-473-5431",
            "fax_number": "631-473-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "MARJORIE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010280-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Balloni, LMT
• Christy Starna- Barbera
• Jamie Lynn Barbera, AU.D.
• Lauren Sheffield Barnes, CRNP
• Douglas Barnett, LPN
• Mary Barto, L.M.T.
• Laurajean Basile
• Patricia Marie Bass, LCSW
• Angie Margareth Batres-Perez
• Dawn Battaglia-Daukantas, LMSW

• Speech-Language Pathologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Speech-Language Pathologist in New York

• 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.