Jordan Stroly, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

028284-1 Issued in NY

Practice address

175 Haight Rd
Amenia, NY 12501-5208

Phone

(845) 373-4100

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1083184907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "125010400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HAIGHT RD",
            "city": "AMENIA",
            "state": "NY",
            "postal_code": "125015208",
            "telephone_number": "845-373-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROLY",
        "first_name": "JORDAN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "028284-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245376185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of the Mid-Hudson Valley
• Stacey Joy Reilly, RPH
• Keelin Sepp
• Christine Mary Sergent, RD, CDN
• Lisa Ann Straus, M.D.
• Derik E Stucker, DDS
• Sun River Health Inc
• Rachel Perlmutter Tantri, A.R.N.P.
• Karen Elizabeth Thompson, CCCSLP
• Cara Tomasetti

• Speech-Language Pathologist in Amenia, NY
• Providers in Amenia, 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 4, 2018; 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.