Annette Elizabeth Cepero-Jimenez, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

255 Executive Dr
Suite 108LL
Plainview, NY 11803-1718

Phone

(718) 239-4147

NPI assigned

Jan 4, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1295039386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W 225TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635046",
            "telephone_number": "347-558-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 EXECUTIVE DR",
            "address_2": "SUITE 108LL",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031718",
            "telephone_number": "718-239-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPERO-JIMENEZ",
        "first_name": "ANNETTE",
        "middle_name": "ELIZABETH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestial Occupational Therapy of Great Neck P.C.
• Central Nassau Guidance & Counseling
• Central Nassau Guidance & Counseling Services, Inc.
• Central Nassau Guidance & Counseling Services, Inc.
• Nicholas Centrowitz, PHARMD
• Amanda Cerisano
• Alexandra Cerone
• Justin Chacko, D.O.
• Chanchal K. Saha MD PC
• Naomi Bridgette Emilia Chandler-Ofuya

• Speech-Language Pathologist in Plainview, NY
• Providers in Plainview, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.