Individual provider Active NPI

Priscilla Pareja

  • Speech-Language Pathologist
  • Jericho, NY
National Provider Identifier
1568085298
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
029055 Issued in NY
Practice address
99 Old Cedar Swamp Rd
Jericho, NY 11753-1201
Phone
(516) 203-3610
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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 029055 NY Primary

Addresses

Primary practice location

99 Old Cedar Swamp Rd
Jericho, NY 11753-1201

Mailing address

172 Ocean Ave
Lynbrook, NY 11563-2703
Phone (516) 504-5949

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ppareja@jerichoschools.org

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

State licenses

LicenseStateTypeSpecialty
029055NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jericho Ufsd PastSince May 31, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1568085298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 OCEAN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632703",
            "telephone_number": "516-504-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 OLD CEDAR SWAMP RD",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531201",
            "telephone_number": "516-203-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAREJA",
        "first_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "029055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ppareja@jerichoschools.org",
            "affiliation": "N",
            "endpointDescription": "Professional Email",
            "address_1": "99 Old Cedar Swamp Rd",
            "city": "Jericho",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117531201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.