Jenna Marie Regan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

023286-1 Issued in NY

Practice address

10460 Queens Blvd Apt 3K
Forest Hills, NY 11375-7320

Phone

(914) 262-1250

NPI assigned

Nov 28, 2016

Last updated

Apr 25, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1215470075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD APT 3K",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757320",
            "telephone_number": "914-262-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD APT 3K",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757320",
            "telephone_number": "914-262-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 E 67th St",
            "address_2": "226M",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100656051",
            "country_code": "US",
            "telephone_number": "212-288-1748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGAN",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023286-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samra Redzematovic
• Carissa Reed, M.S, BCBA, LBA
• Suman Reejsinghani, M.D.
• Gina M Reese, SLP
• Laniek C Reese
• Katherine Regnell
• Brandon J Rego
• Rehab Reflex Physical Therapy, P.C.
• Daniel S Reich, M.D.
• Michael Reich, MD

• Speech-Language Pathologist in Forest Hills, NY
• Providers in Forest Hills, 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 Apr 25, 2022; 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.