Jill Maliszewski

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6455 Issued in FL

Practice address

12276 San Jose Blvd Ste 507
Jacksonville, FL 32223-8618

Phone

(904) 288-8910

Fax

(904) 288-8912

NPI assigned

Nov 29, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Play Works Therapies, P.a.

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1043257678
  NPD (past) Authorized official
• Play Works Therapies, P.a.

  • Developmental Therapist
  • Jacksonville, FL
  • NPI 1215679501
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1114094661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 CROWN POINT CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575967",
            "telephone_number": "904-288-8910",
            "fax_number": "904-288-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 507",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238618",
            "telephone_number": "904-288-8910",
            "fax_number": "904-288-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALISZEWSKI",
        "first_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S2331",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886026200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashif Zia Malik, MD
• Nushrah Naveed Malik, MD, MBA
• Saadia Aurangzeb Malik, M.D.,
• Sehrish Malik, MD
• Shayne Lynne Mangalindan Malik
• Ray E Mallari
• Jorge Mallea, MD
• Daniel Malleske, MD
• Kerry Cronin Mallini, PT, NCS
• Jennifer Mallon

• Speech-Language Pathologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.