Active NPI
Jesse Carroll Bass
- Speech-Language Pathologist
- Ewing, NJ
National Provider Identifier
1124977269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00866100
- Practice address
- 106 Woodland Ave
Ewing, NJ 08638-2555 - Phone
- (609) 558-0970
- NPI assigned
- Jan 22, 2026
- Last updated
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00866100 | NJ | Primary |
Addresses
Primary practice location
106 Woodland Ave
Ewing, NJ 08638-2555
Mailing address
106 Woodland Ave
Ewing, NJ 08638-2555
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00866100 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1124977269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 WOODLAND AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086382555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WOODLAND AVE",
"city": "EWING",
"state": "NJ",
"postal_code": "086382555",
"telephone_number": "609-558-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "JESSE",
"middle_name": "CARROLL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00866100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewing, NJ
- Bancroft, a New Jersey Nonprofit Corporation
- Enas Barakat, RPH
- Cynthia A Baran, LPC
- Bare Mountain Medicine PC
- Logan Barnes, PA-C
- Elaine A. Baugh, LSW
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
- Beacon Specialized Living New Jersey, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.