Individual provider Active NPI

Jessica Torres

  • Speech-Language Pathologist
  • Ridgewood, NY
National Provider Identifier
1043705676
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2775289 Issued in NY
Practice address
6285 Forest Ave
Ridgewood, NY 11385-2001
Phone
(718) 821-7772
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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 2775289 NY Primary

Addresses

Primary practice location

6285 Forest Ave
Ridgewood, NY 11385-2001

Mailing address

7813 65TH St
Glendale, NY 11385-6805
Phone (718) 757-4199

Other practice location 1

7813 65th St
Glendale, NY 11385-6805
Phone (718) 757-4199

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

State licenses

LicenseStateTypeSpecialty
2775289NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581724800000",
    "number": "1043705676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 65TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113856805",
            "telephone_number": "718-757-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 FOREST AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113852001",
            "telephone_number": "718-821-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7813 65th St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113856805",
            "country_code": "US",
            "telephone_number": "718-757-4199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "2775289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.