Marina Semenova, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018505 Issued in NY

Practice address

16 Fairlawn Loop
Staten Island, NY 10308-3509

Phone

(718) 986-9830

NPI assigned

Jun 23, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Itsy Bitsy Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
  • NPI 1265012892
  NPD Authorized official
• Chatterbox SLP Therapy P.C.

  • Hearing and Speech Clinic/Center
  • Staten Island, NY
  • NPI 1780143495
  NPD (past) Authorized official
• First Step Therapy (OT, SLP & PT) PLLC

  • Occupational Therapist
  • Brooklyn, NY
  • NPI 1326299421

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1992933436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAIRLAWN LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083509",
            "telephone_number": "718-986-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAIRLAWN LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083509",
            "telephone_number": "718-986-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 E 15th St",
            "address_2": "Room 202",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353828",
            "country_code": "US",
            "telephone_number": "718-332-0080",
            "fax_number": "718-332-3365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMENOVA",
        "first_name": "MARINA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH AND LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "018505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enkeleta Selmani, EARLY CHILDHOOD MA
• Neil Bard Selmer
• Maureen Seltzberg, M.S.CCC-SLP
• Caitlin Sembler
• Oksana Semeniak, MS
• Donna P Seminara, MD
• Michael Ryan Semler, PT, DPT
• Josephine M. Senese, LMSW, MSED
• Senior Links Home Care Agency
• Merita Senka

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Nov 8, 2022; 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.