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MARISSA DANIELLE CANNELLA
NPI 1073246542
Speech-Language Pathologist in Babylon, NY

Active since July 02, 2022
400 MONTAUK HWY STE 152, BABYLON, NY 11702(631) 669-7098 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marissa Danielle Cannella NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA DANIELLE CANNELLA (NPI 1073246542) is an individual speech-language pathologist provider in Babylon, New York and active in the NPI registry since July 2022. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1073246542
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARISSA DANIELLE CANNELLA
Location Address400 MONTAUK HWY STE 152Babylon, NY 11702-3009
Mailing Address7 Tree LnWantagh, NY 11793-1907 · (516) 783-4028
Phone(631) 669-7098
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 2, 2022
Last NPPES UpdateAugust 18, 2022
NPPES CertifiedJuly 29, 2022
✔ NPI 1073246542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
400 MONTAUK HWY STE 152, Babylon, NY 11702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Danielle Cannella is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628548294
PECOS Enrollment IDI20260525000146

Medicare Billing Reassignment

Medicare enrollment records show Marissa Cannella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Shore Speech Language And Swallowing Disorders PLLC
41 mi
Speech-Language Pathologist
400 MONTAUK HWY STE 152
Babylon, NY 11702
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1568798619 (631) 669-7098

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINA DANIELE RIOLO
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098
VICTORIA THERESA MIENERT
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098
JESSICA MANION
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098
NIKKI ANN INDELICATO
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-3736
SOUTH SHORE SPEECH LANGUAGE AND SWALLOWING DISORDERS PLLC
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098
KATHLEEN MICHELE FINN MS, CCC-SLP
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098
SOPHIA MADELYNE ASOFSKY
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098
NICOLE MARINO
Speech-Language Pathologist
400 MONTAUK HWY STE 152
BABYLON, NY 11702
Suffolk County (631) 669-7098

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Cannella's NPI number?

The NPI number for Marissa Cannella is 1073246542. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Marissa Cannella located?

Marissa Cannella practices at 400 Montauk Hwy Ste 152, Babylon, NY 11702. The listed phone number is (631) 669-7098.

What is Marissa Cannella's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Marissa Cannella enrolled in Medicare?

Yes. Marissa Cannella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marissa Cannella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Cannella reassigns Medicare benefits to South Shore Speech Language And Swallowing Disorders PLLC (Babylon, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Cannella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marissa Cannella was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.