Individual provider Active NPI

Jordyn Nusynowitz

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1215546684
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
200 E 33Rd St Apt 21D
New York, NY 10016-4830
Phone
(321) 230-1855
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 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 PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

200 E 33Rd St Apt 21D
New York, NY 10016-4830

Mailing address

200 E 33Rd St Apt 21D
New York, NY 10016-4830
Phone (321) 230-1855

Other identifiers 1

IdentifierTypeStateIssuer
XJBH54664011OtherFLFLORIDA BLUE CROSS BLUE SHIELD-BLUE OPTIONS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jordyn.nusynowitz@gmail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1215546684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST APT 21D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164830",
            "telephone_number": "321-230-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST APT 21D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164830",
            "telephone_number": "321-230-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSYNOWITZ",
        "first_name": "JORDYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE CROSS BLUE SHIELD-BLUE OPTIONS",
            "identifier": "XJBH54664011",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jordyn.nusynowitz@gmail.com",
            "affiliation": "N",
            "address_1": "200 E 33rd St Apt 21D",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100164830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 30, 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.