Marissa Jeannette Nittoly, MS, CCC/SLP TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

416 W Olive St
Long Beach, NY 11561-3128

Phone

(516) 870-6144

NPI assigned

Nov 17, 2008

Sex

Female

Sole proprietor

No

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 Science

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466812800000",
    "number": "1972757086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W OLIVE ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613128",
            "telephone_number": "516-870-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W OLIVE ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613128",
            "telephone_number": "516-870-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITTOLY",
        "first_name": "MARISSA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "credential": "MS, CCC/SLP TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2016-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Newman, PH.D.
• Ka Yan NG, L.AC.
• Vicki Nichols, LCSW
• Susan J Ninan, RPH
• Bruce Jay Nitsberg, MD
• Mary Nogueira, RPH
• Alexandra Ann O'Brien, P.T.
• Loren Ann O'Connor, M.A. CCC-SLP
• Peter O'Connor, PT
• Anne O'Hare

• Speech-Language Pathologist in Long Beach, NY
• Providers in Long Beach, 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 Jun 25, 2016; 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.