Active NPI
Jessica Lee Roth, M.S. CCC-SLP
- Speech-Language Pathologist
- Schenectady, NY
National Provider Identifier
1205206554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 025089-1
- Practice address
- 108 Education Dr
Schenectady, NY 12303-1297 - Phone
- (518) 370-8100
- NPI assigned
- Sep 30, 2015
- 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 | 025089-1 | NY | Primary |
Addresses
Primary practice location
108 Education Dr
Schenectady, NY 12303-1297
Mailing address
2114 Ferguson St
Schenectady, NY 12303-4127
Phone (518) 322-5223
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025089-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1205206554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2114 FERGUSON ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123034127",
"telephone_number": "518-322-5223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 EDUCATION DR",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123031297",
"telephone_number": "518-370-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "JESSICA",
"middle_name": "LEE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025089-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.