Jodi Lynn Levenson, MSCCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00177900 Issued in NJ

Practice address

472 Saint Nicholas Ave
Haworth, NJ 07641-1628

Phone

(201) 384-7286

Fax

(201) 384-7294

NPI assigned

Nov 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1477735405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 SAINT NICHOLAS AVE",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411628",
            "telephone_number": "201-384-7286",
            "fax_number": "201-384-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 SAINT NICHOLAS AVE",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411628",
            "telephone_number": "201-384-7286",
            "fax_number": "201-384-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSON",
        "first_name": "JODI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSCCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00177900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "41YS00177900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annmarie Lacorazza, MA OTR/L
• Jane Palumbo Lastella, PHD
• Tal J Lebel, D.M.D
• Susan Y Lee, RPH
• Yoon H Lee, PHARMD
• Alice Marcus, L.C.S.W.
• Frank J. McElroy, PH.D.
• Anthony M Miceli, D.C.
• New Concepts for Living
• Olivea Potenzone

• Speech-Language Pathologist in Haworth, NJ
• Providers in Haworth, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.