Individual provider Active NPI

Jodi Needle, MS CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1003069154
Registry record updated Nov 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013760 Issued in NY
Practice address
9265 Shore Rd
5G
Brooklyn, NY 11209-6576
Phone
(718) 921-0203
NPI assigned
Nov 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013760 NY Primary

Addresses

Primary practice location

9265 Shore Rd
5G
Brooklyn, NY 11209-6576

Mailing address

9265 Shore Rd
5G
Brooklyn, NY 11209-6576
Phone (718) 921-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225497600000",
    "number": "1003069154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 SHORE RD",
            "address_2": "5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096576",
            "telephone_number": "718-921-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 SHORE RD",
            "address_2": "5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096576",
            "telephone_number": "718-921-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDLE",
        "first_name": "JODI",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-01",
        "last_updated": "2008-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.