Jennifer Dellapenta, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015840-01 Issued in NY

Practice address

4071 Hardt Rd
Eden, NY 14057-9650

Phone

(716) 992-4466

NPI assigned

Mar 21, 2020

Last updated

Mar 21, 2020By the provider in NPPES

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

Other names 1

• Jennifer Friedrich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1144856154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8778 FEDDICK RD # RS",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140757008",
            "telephone_number": "716-713-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4071 HARDT RD",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140579650",
            "telephone_number": "716-992-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAPENTA",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015840-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FRIEDRICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Eden Central School District
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• Speech-Language Pathologist in Eden, NY
• Providers in Eden, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.