Individual provider Active NPI

Jennifer Cronin-Komosinski, SLP

  • Speech-Language Pathologist
  • Yonkers, NY
National Provider Identifier
1073767125
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009908-1 Issued in NY
Practice address
30 Emmett PL
Yonkers, NY 10703-1925
Phone
(914) 968-2966
NPI assigned
Nov 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 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 009908-1 NY Primary

Addresses

Primary practice location

30 Emmett PL
Yonkers, NY 10703-1925

Mailing address

30 Emmett PL
Yonkers, NY 10703-1925
Phone (914) 968-2966

Other names 1

  • Jennifer Cronin Professional name

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
009908-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1073767125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EMMETT PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031925",
            "telephone_number": "914-968-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EMMETT PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107031925",
            "telephone_number": "914-968-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN-KOMOSINSKI",
        "first_name": "JENNIFER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009908-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CRONIN",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.