Individual provider Active NPI

Megan Elizabeth Jablin

  • Speech-Language Pathologist
  • Staten Island, NY
National Provider Identifier
1467886002
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023154 Issued in NY
Practice address
223 Joline Ave
Staten Island, NY 10307-2080
Phone
(718) 637-4862
Fax
(718) 439-6415
NPI assigned
Aug 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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 023154 NY Primary

Addresses

Primary practice location

223 Joline Ave
Staten Island, NY 10307-2080

Mailing address

223 Joline Ave
Staten Island, NY 10307-2080
Phone (718) 637-4862

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
023154NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1467886002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 JOLINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103072080",
            "telephone_number": "718-637-4862",
            "fax_number": "718-439-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 JOLINE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103072080",
            "telephone_number": "718-637-4862",
            "fax_number": "718-439-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABLIN",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.