Active NPI
Rrjslp, Inc
- Speech-Language Pathologist
- Port Jefferson Station, NY
National Provider Identifier
1396639605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- RRJSLP, INC
- Practice address
- 299 Hallock Ave
Port Jefferson Station, NY 11776-1217 - Phone
- (631) 473-4284
- Fax
- (631) 331-2204
- NPI assigned
- Jun 3, 2025
- Last updated
- Jun 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth A Roman-Jimenez, M.S., CCC-SLP
- Title
- President
- Phone
- (917) 703-2443
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | Primary | |
| Hearing and Speech Clinic/Center | 261QH0700X | NU |
Addresses
Primary practice location
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Mailing address
19 Sargent PL
Manhasset, NY 11030-2819
Phone (917) 703-2443
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Manhasset, NY
- NPI 1922372374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749427200000",
"number": "1396639605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 SARGENT PL",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302819",
"telephone_number": "917-703-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 HALLOCK AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117761217",
"telephone_number": "631-473-4284",
"fax_number": "631-331-2204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RRJSLP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A",
"authorized_official_last_name": "ROMAN-JIMENEZ",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-703-2443",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.