Mary Jo Theresa Loughlin, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018103-1 Issued in NY

Practice address

125 E Bethpage Rd
Suite 5
Plainview, NY 11803-4228

Phone

(516) 731-5588

Fax

(516) 567-9049

NPI assigned

Jun 9, 2008

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 Science

State licenses

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1972762441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 EVE ANN DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117764288",
            "telephone_number": "631-678-2216",
            "fax_number": "631-678-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BETHPAGE RD",
            "address_2": "SUITE 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034228",
            "telephone_number": "516-731-5588",
            "fax_number": "516-567-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "MARY JO",
        "middle_name": "THERESA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018103-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J Lopinto, MD
• Alexandria Loproto
• Kristen Lorch, FNP
• Edna R Lord, MD
• Kathleen Lott, COTA
• Natacha Louis-Charles, OD
• Nubia Louis
• Kevin Lozada
• Andy Lu, D.O.
• Glenn S Ludwig, D.M.D.

• Speech-Language Pathologist in Plainview, NY
• Providers in Plainview, 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 Jan 2, 2014; 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.