Individual provider Active NPI

Jennifer Ann Glosenger, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Painted Post, NY
National Provider Identifier
1487962742
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008579-1 Issued in NY
Practice address
3414 Stanton St
Calvin U Smith Elementary School
Painted Post, NY 14870
Phone
(607) 936-4156
Fax
(607) 654-2859
NPI assigned
Sep 21, 2010
Last updated
Mar 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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 008579-1 NY Primary

Addresses

Primary practice location

3414 Stanton St
Calvin U Smith Elementary School
Painted Post, NY 14870

Mailing address

165 Charles St.
Painted Post, NY 14870
Phone (607) 936-4156

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
008579-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Corning City School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1487962742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 CHARLES ST.",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "14870",
            "telephone_number": "607-936-4156",
            "fax_number": "607-654-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 STANTON ST",
            "address_2": "CALVIN U SMITH ELEMENTARY SCHOOL",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "14870",
            "telephone_number": "607-936-4156",
            "fax_number": "607-654-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOSENGER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008579-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painted Post, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.