Jamie Sabrina Antin, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017009-1 Issued in NY

Practice address

15323 83Rd St
Howard Beach, NY 11414-1801

Phone

(718) 848-9247

Fax

(718) 738-8505

NPI assigned

Dec 1, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1174066682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 BRADLEY CT",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664335",
            "telephone_number": "718-378-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15323 83RD ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141801",
            "telephone_number": "718-848-9247",
            "fax_number": "718-738-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTIN",
        "first_name": "JAMIE",
        "middle_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew J. Mantel, PC,
• Ayanna Andrew
• Stephanie Marie Angelino, PHARM.D.
• Anthony Lawrence Napolitano, MD PC
• Anthony R Napolitano MD PC
• Jerome Joseph Antonino, D.C.
• Victoria Antonino, DC
• Lianne Aponte, AUD
• Susan Appelman, LCSW
• Boris Arbitman, D.D.S

• All providers in Howard Beach, NY
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.