Individual provider Active NPI

Shelley M Jakubowicz

  • Speech-Language Pathologist
  • Orchard Park, NY
National Provider Identifier
1326224148
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004550-1 Issued in NY
Practice address
7335 Milestrip Rd
Orchard Park, NY 14127-1410
Phone
(716) 662-1150
NPI assigned
Jan 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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 004550-1 NY Primary

Addresses

Primary practice location

7335 Milestrip Rd
Orchard Park, NY 14127-1410

Mailing address

7335 Milestrip Rd
Orchard Park, NY 14127-1410
Phone (716) 662-1150

Other names 1

  • Ms. Shelley Marie Jakubowicz Other name

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

State licenses

LicenseStateTypeSpecialty
004550-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1326224148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 MILESTRIP RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271410",
            "telephone_number": "716-662-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 MILESTRIP RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271410",
            "telephone_number": "716-662-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBOWICZ",
        "first_name": "SHELLEY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004550-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "JAKUBOWICZ",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.