Active NPI
Jessica Manion
- Speech-Language Pathologist
- Babylon, NY
National Provider Identifier
1417549254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 400 Montauk Hwy Ste 152
Babylon, NY 11702-3009 - Phone
- (631) 669-7098
- NPI assigned
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
400 Montauk Hwy Ste 152
Babylon, NY 11702-3009
Mailing address
18 Roundhill Rd
Granby, CT 06035-1919
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Speech Language and Swallowing Disorders PLLC | Single Specialty | Current | Accepting new patients |
| South Shore Center for Speech, Language and Swallowing Disorders, LLP | Past | Accepting new patients |
Locations
400 W Montauk Hwy
Ste 152
Babylon, NY 11702
Phone (631) 669-7098
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Babylon, NY
- NPI 1568798619
Single Specialty
-
- Early Intervention Provider Agency
- Babylon, NY
- NPI 1255579785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1417549254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 ROUNDHILL RD",
"city": "GRANBY",
"state": "CT",
"postal_code": "060351919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MONTAUK HWY STE 152",
"city": "BABYLON",
"state": "NY",
"postal_code": "117023009",
"telephone_number": "631-669-7098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANION",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.