Individual provider Active NPI

Chana Jacobowitz, CCC, SLP, TSHH

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1467764217
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
58017629 Issued in NY
Practice address
920 E 17TH St
Apt 210
Brooklyn, NY 11230-3751
Phone
(718) 951-0791
Fax
(718) 951-0791
NPI assigned
Jul 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 58017629 NY Primary

Addresses

Primary practice location

920 E 17TH St
Apt 210
Brooklyn, NY 11230-3751

Mailing address

920 E 17TH St
Apt 210
Brooklyn, NY 11230-3751
Phone (718) 951-0791

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

State licenses

LicenseStateTypeSpecialty
58017629NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1467764217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E 17TH ST",
            "address_2": "APT 210",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303751",
            "telephone_number": "718-951-0791",
            "fax_number": "718-951-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 17TH ST",
            "address_2": "APT 210",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303751",
            "telephone_number": "718-951-0791",
            "fax_number": "718-951-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBOWITZ",
        "first_name": "CHANA",
        "name_prefix": "Mrs.",
        "credential": "CCC, SLP, TSHH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58017629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.