Jacklyn Davidov

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9004 161St St
Suite 304
Jamaica, NY 11432-6141

Phone

(718) 206-1000

Fax

(718) 206-1077

NPI assigned

Apr 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1487910915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7238 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672408",
            "telephone_number": "718-851-3300",
            "fax_number": "718-261-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9004 161ST ST",
            "address_2": "SUITE 304",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326141",
            "telephone_number": "718-206-1000",
            "fax_number": "718-206-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOV",
        "first_name": "JACKLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elbert Michael David, PA
• Herlene Christabel David
• Mathew David
• Oluwamayowa Akinbiyi David
• Reginald David
• Sharlene A Davidson
• Georgia Davies, M.D.
• Aja Davis, LPN
• Danielle A Davis, DPT
• Keillen Davis, RN

• Speech-Language Pathologist in Jamaica, NY
• Providers in Jamaica, 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 Sep 11, 2019; 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.