Jennifer M Jackson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0168021 Issued in NY

Practice address

105 Casey Rd
East Amherst, NY 14051-2224

Phone

(716) 626-8000

Fax

(716) 626-8089

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer M Bongiovanni Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Williamsville Central School District

  • Local Education Agency (LEA)
  • East Amherst, NY
  • NPI 1073665972
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1457422156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 IRVING TER",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232740",
            "telephone_number": "716-864-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CASEY RD",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512224",
            "telephone_number": "716-626-8000",
            "fax_number": "716-626-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0168021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BONGIOVANNI",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Elaine Huffman, L.M.T.
• Thomas Francis Hughes, MD
• Independence Home Care of New York
• Lesthia Isaacs
• Shoshana Izkhakov, DPT
• Lymarilys Jackson, PMHNP
• Donald James Jacob, M.D.
• Jacqueline Szczupakowski DDS, PLLC
• Katie Ann Janik
• Katherine Janson, OTR/L

• Speech-Language Pathologist in East Amherst, NY
• Providers in East Amherst, 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 Jan 10, 2012; 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.