Jacqueline Marie Satili

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TL-3436 Issued in NJ

Practice address

1015 Amboy Ave
Edison, NJ 08837-2825

Phone

(732) 255-5990

NPI assigned

Feb 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1104410315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MILLER AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078662230",
            "telephone_number": "973-294-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 AMBOY AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088372825",
            "telephone_number": "732-255-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Rockaway",
            "state": "NJ",
            "postal_code": "078662230",
            "country_code": "US",
            "telephone_number": "973-294-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SATILI",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Sarcona, PHARMD
• Jasbir Singh Sarkaria, M.D.
• Jeremia Castaneda Sarmiento
• Kathleen Sasso
• Inbarasi Sathiyamoorthy
• Jesse Sattler, PT, DPT
• Jayashree M. Satwalekar, M.D.
• Satyanarayan Healthcare, LLC
• Domenico Savatta, MD
• Savings Pharmacy and Surgical Supplies Inc

• Speech-Language Pathologist in Edison, NJ
• Providers in Edison, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.