Jaclyn Heather Rosenblum

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1039499161 Issued in NY

Practice address

2 Edgewood Gate
Plainview, NY 11803

Phone

(516) 457-7612

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437676178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EDGEWOOD GATE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033116",
            "telephone_number": "516-457-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EDGEWOOD GATE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "11803",
            "telephone_number": "516-457-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "JACLYN",
        "middle_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "1039499161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald C. Richman MD P.C.
• Ronald J Lopinto MD PC
• Megan N Rooney
• Christina Marie Roselli, DO
• Tracey Jane Rosenberg, D.D.S. M.D.
• Jake Dylan Rosenblum, DO
• Kimberly Ann Rosenkrantz, MA, CCC-SLP
• Greg Rosenn, MD
• Steven Bruce Rosenstein, LCSW
• Frances Rosenzweig, OT

• Speech-Language Pathologist in Plainview, NY
• Providers in Plainview, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.