Jennifer Bienskie-Jackson

Individual provider Active NPI Speech-Language Pathologist · Towaco, NJ

NPI 1457694366 · NPPES record last updated Dec 19, 2022

Key facts

NPI
1457694366
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00613700 (NJ)
Practice address
1 Weldon PL
Towaco, NJ 07082-1514
Phone
(973) 477-4245
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
The Speech Express, Inc Current
since Dec 28, 2022
Accepting new patients
Ansa Consultants, Inc. Speech-Language Pathologist Past Accepting new patients
Imperial Vista Health Care Staffing, LLC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00613700 NJ Yes

Addresses

Primary practice location

1 Weldon PL
Towaco, NJ 07082-1514

Mailing address

1 Weldon PL
Towaco, NJ 07082-1514
Phone (973) 477-4245

Other providers in Towaco, NJ

All providers in Towaco, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.