Active NPI
Jacalyn Michele Walzer, M. S.
- Speech-Language Pathologist
- New City, NY
National Provider Identifier
1265644694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004792-1
- Practice address
- 260 N Little Tor Rd
New City, NY 10956-2627 - Phone
- (845) 364-4648
- NPI assigned
- May 6, 2007
- 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 | 004792-1 | NY | Primary |
Addresses
Primary practice location
260 N Little Tor Rd
New City, NY 10956-2627
Mailing address
14 Sumter Rd
Airmont, NY 10952-4134
Phone (845) 357-4101
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004792-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265644694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SUMTER RD",
"city": "AIRMONT",
"state": "NY",
"postal_code": "109524134",
"telephone_number": "845-357-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 N LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109562627",
"telephone_number": "845-364-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALZER",
"first_name": "JACALYN",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "M. S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "004792-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.