Jessica Braverman

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

41YS00599900 Issued in NJ

Legal business name

JESSICA BRAVERMAN

Practice address

320 E 54TH St
Apartment 6G
New York, NY 10022-5030

Phone

(732) 259-0370

NPI assigned

Nov 21, 2012

Organization subpart

No

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

Authorized official

Name

Jessica Braverman, M.S. CCC-SLP

Title

Speech-Language Pathologist

Phone

(732) 259-0370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1548504004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 54TH ST",
            "address_2": "APARTMENT 6G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225030",
            "telephone_number": "732-259-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 54TH ST",
            "address_2": "APARTMENT 6G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225030",
            "telephone_number": "732-259-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BRAVERMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "732-259-0370",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NJ",
            "license": "41YS00599900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Hearing and Speech Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.