Active NPI
Jordan Gardner, M.S. CFY- SLP
- Speech-Language Pathologist
- Binghamton, NY
National Provider Identifier
1295303303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 032359-01
- Practice address
- 249 Glenwood Rd
Binghamton, NY 13905-1603 - Phone
- (770) 047-5607
- NPI assigned
- Jun 15, 2021
- Last updated
- Dec 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Speech-Language Pathologist | 235Z00000X | 032359-01 | NY | Primary |
Addresses
Primary practice location
249 Glenwood Rd
Binghamton, NY 13905-1603
Mailing address
316 Mary Windsor Rd
Norwich, NY 13815-3671
Phone (607) 244-9332
Other practice location 1
19 Robinson Rd
Clinton, NY 13323-1418
Phone (315) 853-6090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032359-01 | NY | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1295303303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 MARY WINDSOR RD",
"city": "NORWICH",
"state": "NY",
"postal_code": "138153671",
"telephone_number": "607-244-9332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "249 GLENWOOD RD",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139051603",
"telephone_number": "770-047-5607"
}
],
"practiceLocations": [
{
"address_1": "19 Robinson Rd",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "NY",
"postal_code": "133231418",
"country_code": "US",
"telephone_number": "315-853-6090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARDNER",
"first_name": "JORDAN",
"credential": "M.S. CFY- SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-15",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "032359-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.