Individual provider Active NPI

Jennifer D Cassetta, MS, MED, CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1235416512
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018140-1 Issued in NY
Practice address
150 W 92ND St
Suite BB
New York, NY 10025-7516
Phone
(212) 595-1705
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 018140-1 NY Primary

Addresses

Primary practice location

150 W 92ND St
Suite BB
New York, NY 10025-7516

Mailing address

150 W 92ND St
Suite BB
New York, NY 10025-7516
Phone (212) 595-1705

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 Education, Master of Science

State licenses

LicenseStateTypeSpecialty
018140-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1235416512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W 92ND ST",
            "address_2": "SUITE BB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257516",
            "telephone_number": "212-595-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 92ND ST",
            "address_2": "SUITE BB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257516",
            "telephone_number": "212-595-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSETTA",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "MS, MED, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018140-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 14, 2011; 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.