Active NPI
Jessica Ivy Pillersdorf, M.A., CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1164612487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016684
- Practice address
- 200 E 71St St
Apt. 10E
New York, NY 10021-5137 - Phone
- (516) 241-7037
- NPI assigned
- Aug 1, 2007
- 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 | 016684 | NY | Primary |
Addresses
Primary practice location
200 E 71St St
Apt. 10E
New York, NY 10021-5137
Mailing address
200 E 71St St
Apt. 10E
New York, NY 10021-5137
Phone (516) 241-7037
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1164612487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 71ST ST",
"address_2": "APT. 10E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215137",
"telephone_number": "516-241-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 71ST ST",
"address_2": "APT. 10E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215137",
"telephone_number": "516-241-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILLERSDORF",
"first_name": "JESSICA",
"middle_name": "IVY",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "016684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.