Active NPIIndividual provider

Marissa R Pine, CCC-SLP

Speech-Language Pathologist, in Bayonne, New Jersey

NPI Number1194360099
Practice location
237 Avenue E, Bayonne, NJ 07002-3714
Fax
—
Last updated
November 14, 2019

Marissa Rachel Pine is a Speech-Language Pathologist, based in Bayonne, NJ. Marissa Rachel Pine practices in Bayonne, NJ and has the professional credentials of CCC-SLP. The NPI Number for Marissa Rachel Pine is 1194360099 and holds a License No. 41YS01014900 (NJ). The current practice location address for Marissa Rachel Pine is 237 Avenue E, Bayonne, NJ 07002-3714 and can be reached out via phone at 201-455-3144.

Provider Profile Details

NPI Number
1194360099
Provider Name
Marissa Rachel Pine
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
237 Avenue E, Bayonne, NJ 07002-3714
Phone Number
201-455-3144
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2019
Last Update Date
November 14, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
237 Avenue E
Bayonne, NJ 07002-3714
Zip
07002-3714
Phone Number
201-455-3144
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
315 11TH St Apt 2
Hoboken, NJ 07030-3233
City
Hoboken
State
NJ
Zip
07030-3233
Phone Number
201-956-8883

License Information

License Number
41YS01014900
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa R Pine, CCC-SLP?

The NPI number of Marissa R Pine, CCC-SLP is 1194360099. It was assigned on November 14, 2019 and is currently active in the NPPES registry.

What is the specialty of Marissa R Pine, CCC-SLP?

Marissa R Pine, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01014900.

Where does Marissa R Pine, CCC-SLP practice?

The practice location is 237 Avenue E, Bayonne, NJ 07002-3714. The office can be reached at 201-455-3144 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194360099 directly on the NPPES registry website.

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