Active NPI
Jordyn Nusynowitz
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1215546684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XJBH54664011 | Other | FL | FLORIDA BLUE CROSS BLUE SHIELD-BLUE OPTIONS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.