Jocelyn Renee Bristoll

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

029422 Issued in NY

Practice address

2850 N Jerusalem Rd
Wantagh, NY 11793-1125

Phone

(516) 396-2600

NPI assigned

Mar 3, 2020

Last updated

Mar 14, 2023By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1477188183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 RETURN LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117565417",
            "telephone_number": "516-477-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N JERUSALEM RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931125",
            "telephone_number": "516-396-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOLL",
        "first_name": "JOCELYN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2023-03-14",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jrsmith1837@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1983 Marcus Ave",
            "city": "New Hyde Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110422000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Nancy Brancati, NP
• Ilyssa Nicole Brass
• Brenner Chiropractic PC
• Judith Ellen Bresler, PT
• Charles James Briscoe, LMSW
• Bianca Brito, PHLEBOTOMIST
• Una Mary Broderick, P.T.
• Bronx Neighborhood NP in Family and Womens Health Care PLLC
• Marjorie Brook, LMT
• Mitchell S Brookstone, DDS

• Speech-Language Pathologist in Wantagh, NY
• Providers in Wantagh, 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 Mar 14, 2023; 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.