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MS. MARY BOGHOSIAN M.A.
NPI 1962541649
Speech-Language Pathologist in Babylon, NY

Active since February 06, 2007
400 W MAIN ST, BABYLON, NY 11702(631) 669-7098(631) 669-3736 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Mary Boghosian M.a. NPPES

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

MS. MARY BOGHOSIAN M.A. (NPI 1962541649) is an individual speech-language pathologist provider in Babylon, New York, licensed in New York (008482-1) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1962541649
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. MARY BOGHOSIANCredential: M.A.
Location Address400 W MAIN STBabylon, NY 11702-3012
Mailing Address21 Bardolier LnBay Shore, NY 11706-7601 · (631) 665-9168 · Fax (631) 665-9179
Phone(631) 669-7098
Fax(631) 669-3736
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962541649 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 · 008482-1
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.
400 W MAIN ST, 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)

Ms. Mary Boghosian M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Boghosian 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
1.1 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 20

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

DR. AMANDA MURDOLO AU.D.
Audiologist
400 W MAIN ST
BABYLON, NY 11702
Suffolk County (914) 333-5801
HAND REHABILITATION OF SUFFOLK
Occupational Therapist (Hand)
400 W MAIN ST, STE109
BABYLON, NY 11702
Suffolk County (631) 893-1957
SARAH DEMILT
Counselor (Mental Health)
400 W MAIN ST
BABYLON, NY 11702
Suffolk County (631) 223-8622
WARREN LOBO, MD, PC
Anesthesiology
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Suffolk County (631) 321-6400
LOBO & ADHAMI GASTROENTEROLOGY PC
Internal Medicine (Gastroenterology)
400 W MAIN ST, STE 300
BABYLON, NY 11702
Suffolk County (631) 321-6400
WARREN D. LOBO M.D.
Anesthesiology
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Suffolk County (631) 321-6400
DR. KOUROSH ADHAMI M.D.
Specialist
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Suffolk County (631) 321-6400
DR. CLAIRE A SCANLON-KOHLROSER MD, MPH
Internal Medicine (Nephrology)
400 W MAIN ST, SUITE 300
BABYLON, NY 11702
Suffolk County (631) 321-6400

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 Boghosian's NPI number?

The NPI number for Mary Boghosian is 1962541649. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Mary Boghosian located?

Mary Boghosian practices at 400 W Main St, Babylon, NY 11702. The listed phone number is (631) 669-7098.

What is Mary Boghosian's specialty?

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

Is Mary Boghosian enrolled in Medicare?

Yes. Mary Boghosian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Boghosian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boghosian 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 Mary Boghosian'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 Mary Boghosian was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.