Individual provider Active NPI

Jennifer Chaya Ainhorn

  • Speech-Language Pathologist
  • Far Rockaway, NY
National Provider Identifier
1134465107
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
684028121 Issued in NY
Practice address
794 Empire Ave
2ND Floor
Far Rockaway, NY 11691-4835
Phone
(818) 568-2158
NPI assigned
Dec 19, 2012
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 684028121 NY Primary

Addresses

Primary practice location

794 Empire Ave
2ND Floor
Far Rockaway, NY 11691-4835

Mailing address

794 Empire Ave
2ND Floor
Far Rockaway, NY 11691-4835
Phone (818) 568-2158

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

LicenseStateTypeSpecialty
684028121NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1134465107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 EMPIRE AVE",
            "address_2": "2ND FLOOR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914835",
            "telephone_number": "818-568-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 EMPIRE AVE",
            "address_2": "2ND FLOOR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914835",
            "telephone_number": "818-568-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINHORN",
        "first_name": "JENNIFER",
        "middle_name": "CHAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "684028121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.