Jessica Petrizzi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2569480 Issued in NY

Practice address

4056 Amboy Road
Staten Island, NY 10308-9992

Phone

(718) 356-6604

NPI assigned

Aug 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1063846301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4056 AMBOY ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103089992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4056 AMBOY ROAD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103089992",
            "telephone_number": "718-356-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIZZI",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "2569480",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "901726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie A Petosa, DDS
• Eugene Petra, MD
• Joshua Neal Petraglia
• Jennifer Petrarchi, RN
• Faye F. Petras, M.S.ED.
• Janine Petrizzo-Dejesus, M.S. ED.
• Emil L Petrov, MD
• Yuliya Petrova, MS, MA
• Samantha Rose Petrucci-Crowley, MD
• Carla Petrullo, RN

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Aug 23, 2013; 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.