Jacqueline Berger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

003501 Issued in NY

Legal business name

JACQUELINE BERGER

Practice address

40 W 4TH St Apt 3
Patchogue, NY 11772-2123

Phone

(631) 475-8557

NPI assigned

Sep 15, 2008

Last updated

Dec 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline M Berger

Title

Speech Pathologist

Phone

(631) 475-8557

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1023267093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 4TH ST APT 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 4TH ST APT 3",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722123",
            "telephone_number": "631-475-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE BERGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "631-475-8557"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "003501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.