Individual provider Active NPI

Jenna Marie Sabatini, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Tuckahoe, NY
National Provider Identifier
1073940318
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021472-1 Issued in NY
Practice address
11 Juana St
Tuckahoe, NY 10707-1011
Phone
(914) 912-9580
NPI assigned
Oct 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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 021472-1 NY Primary

Addresses

Primary practice location

11 Juana St
Tuckahoe, NY 10707-1011

Mailing address

11 Juana St
Tuckahoe, NY 10707-1011
Phone (914) 912-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140912000220 NY Practitioner - Qualified Speech Language Pathologist 0345469003 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021472-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Rehabilitation Inc CurrentSince Oct 31, 2024 Accepting new patients
Link Home Therapy Services of Ny-PT OT SLP PLLC CurrentSince Dec 26, 2018 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

1221 Jerome Ave
Bronx, NY 10452
Phone (718) 358-8343

108 S Franklin Ave
Ste 10
Valley Stream, NY 11580

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1073940318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JUANA ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071011",
            "telephone_number": "914-912-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JUANA ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107071011",
            "telephone_number": "914-912-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATINI",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021472-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckahoe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.