Individual provider Active NPI

Jennifer D Malpezzi, SLP

  • Speech-Language Pathologist
  • Utica, NY
National Provider Identifier
1275719841
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008734 Issued in NY
Practice address
326 Catherine St
Utica, NY 13501-1209
Phone
(315) 797-4080
Fax
(315) 738-7777
NPI assigned
Jan 14, 2008
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 Pathologist 235Z00000X 008734 NY Primary

Addresses

Primary practice location

326 Catherine St
Utica, NY 13501-1209

Mailing address

326 Catherine St
Utica, NY 13501-1209
Phone (315) 977-4080

Other identifiers 2

IdentifierTypeStateIssuer
01039156MedicaidNY
00474180MedicaidNY

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1275719841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 CATHERINE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011209",
            "telephone_number": "315-977-4080",
            "fax_number": "315-733-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 CATHERINE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011209",
            "telephone_number": "315-797-4080",
            "fax_number": "315-738-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALPEZZI",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039156",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474180",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.