EVELYN GLORIA MARIN MS
NPI 1679044317
Speech-Language Pathologist in Bronx, NY

Active since December 06, 2018
3120 CORLEAR AVE, BRONX, NY 10463(646) 802-1140 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Evelyn Gloria Marin Ms NPPES

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

EVELYN GLORIA MARIN MS (NPI 1679044317) is an individual speech-language pathologist provider in Bronx, New York and active in the NPI registry since December 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1679044317
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameEVELYN GLORIA MARINCredential: MS
Location Address3120 CORLEAR AVEBronx, NY 10463-3976
Mailing Address4 Lawrence AveWhite Plains, NY 10603-2028 · (914) 413-9709
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 6, 2018
✔ NPI 1679044317 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.
3120 CORLEAR AVE, Bronx, NY 10463

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evelyn Gloria Marin Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971060161
PECOS Enrollment IDI20260807000341

Medicare Billing Reassignment

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

Clinic/Center
260 E 188TH ST
Bronx, NY 10458
  • Reassigned Medicare billing, New York enrollment
  • 142 clinicians in this Medicare group

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

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

Nurse Practitioner (Family)
3120 CORLEAR AVE
BRONX, NY 10463

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 Evelyn Marin's NPI number?

The NPI number for Evelyn Marin is 1679044317. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Where is Evelyn Marin located?

Evelyn Marin practices at 3120 Corlear Ave, Bronx, NY 10463. The listed phone number is (646) 802-1140.

What is Evelyn Marin's specialty?

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

Is Evelyn Marin enrolled in Medicare?

Yes. Evelyn Marin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Evelyn Marin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evelyn Marin reassigns Medicare benefits to Union Community Health Center, Inc. (Bronx, 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 Evelyn Marin'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 Evelyn Marin was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.