Jessica Wysokinski

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SLP.5885SLP Issued in SC

Legal business name

JESSICA WYSOKINSKI

Practice address

59 Pedee PL
Middletown, NJ 07748-2319

Phone

(732) 233-6327

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Wysokinski

Title

Speech Language Pathologist

Phone

(732) 233-6327

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Devennie, MA, CCC-SLP

  • Speech-Language Pathologist
  • Mooresville, NC
  • NPI 1760848030
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1437520780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PEDEE PL",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PEDEE PL",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482319",
            "telephone_number": "732-233-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WYSOKINSKI",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "WYSOKINSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "732-233-6327"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "SC",
            "license": "SLP.5885SLP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Early Intervention Provider Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.