Individual provider Active NPI

Ann M Jerz, MA, CCC-SLP

  • Speech-Language Pathologist
  • Sea Girt, NJ
National Provider Identifier
1164026548
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01007500 Issued in NJ
Practice address
2130 Highway 35 Ste 311
Sea Girt, NJ 08750-1011
Phone
(732) 800-3001
Fax
(732) 800-3002
NPI assigned
Nov 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 41YS01007500 NJ Primary

Addresses

Primary practice location

2130 Highway 35 Ste 311
Sea Girt, NJ 08750-1011

Mailing address

2130 Highway 35 Ste 311
Sea Girt, NJ 08750-1011
Phone (732) 800-3001

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 Arts

State licenses

LicenseStateTypeSpecialty
41YS01007500NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Speech and Language Speech-Language Pathologist PastSince Nov 29, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1164026548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35 STE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501011",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERZ",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01007500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.