Individual provider Active NPI

Jaimie Marie Jablonski, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Belmar, NJ
National Provider Identifier
1144738907
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00864400 Issued in NJ
Practice address
1314 Main St
Belmar, NJ 07719-2715
Phone
(848) 404-9395
Fax
(848) 404-9396
NPI assigned
Jan 15, 2018
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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 41YS00864400 NJ Primary

Addresses

Primary practice location

1314 Main St
Belmar, NJ 07719-2715

Mailing address

1410 Valley Dr
Wall Township, NJ 07719-4059
Phone (732) 492-1363

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS00864400NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mighty Masters Therapy Speech-Language Pathologist CurrentSince Nov 24, 2024 Accepting new patients
Mighty Masters Therapy OT CurrentSince Mar 20, 2025 Accepting new patients

Locations

1314 Main St
Belmar, NJ 07719
Phone (848) 404-9395

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1144738907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 VALLEY DR",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077194059",
            "telephone_number": "732-492-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 MAIN ST",
            "city": "BELMAR",
            "state": "NJ",
            "postal_code": "077192715",
            "telephone_number": "848-404-9395",
            "fax_number": "848-404-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLONSKI",
        "first_name": "JAIMIE",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00864400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmar, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.