Jean M Massaro, MA, CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

005040 Issued in NY

Practice address

12 Forest Knoll Dr
Suffern, NY 10901-7638

Phone

(845) 368-3585

NPI assigned

Oct 25, 2010

Last updated

Oct 25, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1588964571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FOREST KNOLL DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017638",
            "telephone_number": "845-368-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FOREST KNOLL DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017638",
            "telephone_number": "845-368-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSARO",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MA, CCC, SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "005040",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00116400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aida Irene Martinez, P.T.
• Andrew Martino, DPT
• Sara Elizabeth Martos
• Kathleen Marty Yu, CRNA
• Masha Maslennikov, WHNP-BC
• Arianna Masterson, RN
• Liliana Mata, PHARMD
• Roseanne Mathew, PHARM. D.
• Suja Aby Mathew, BPHARM
• Kimberly Matthews, MS, RD

• Speech-Language Pathologist in Suffern, NY
• Providers in Suffern, 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 Oct 25, 2010; 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.