MARY VITALE M.S. CCC SLP
NPI 1700130101
Speech-Language Pathologist in Staten Island, NY

Active since November 07, 2012
52 ROMAN AVE, STATEN ISLAND, NY 10314(917) 586-2964 Get Directions Write a Review

NPPES record last updated: May 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Vitale M.s. Ccc Slp NPPES

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

MARY VITALE M.S. CCC SLP (NPI 1700130101) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (022956-1) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1700130101
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY VITALECredential: M.S. CCC SLP
Location Address52 ROMAN AVEStaten Island, NY 10314-2721
Mailing Address52 Roman AveStaten Island, NY 10314-2721 · (917) 586-2964
Sole ProprietorYes
Enumeration DateNovember 7, 2012
Last NPPES UpdateMay 2, 2017
NPI 1700130101 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
License Licensed in NY · 022956-1
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.
52 ROMAN AVE, Staten Island, NY 10314

Other Identifiers 1

Medicaid03764472NY

Other Providers at the Same Location NPPES

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

Early Intervention Provider Agency
52 ROMAN AVE, APT. 4
STATEN ISLAND, NY 10314

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 Mary Vitale's NPI number?

The NPI number for Mary Vitale is 1700130101. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Mary Vitale located?

Mary Vitale practices at 52 Roman Ave, Staten Island, NY 10314. The listed phone number is (917) 586-2964.

What is Mary Vitale's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Vitale was last updated on May 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.