Jena M Sadagursky, M.S., CCC-SLP, TSSLD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

200 Adelaide Ave
Staten Island, NY 10306-3999

Phone

(718) 967-0359

NPI assigned

May 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Bright Start Speech Pathology and Language PC

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1508998196
  NPD (past)

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1639792765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HOWTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082017",
            "telephone_number": "718-928-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ADELAIDE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063999",
            "telephone_number": "718-967-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAGURSKY",
        "first_name": "JENA",
        "middle_name": "M",
        "credential": "M.S., CCC-SLP, TSSLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth James Saccaro, DDS
• Megan Christina Saccente, DFNP-C
• Vincent Ulysses Saccente, D.D.S.
• Raphael Sacho, MD
• Moses Sackie
• Omar Rushdi Mohammad Sadaqah, M.B.B.S
• Mohamed Ali Sadeia, PT
• Waleed Sadiq, MD
• Shannon Sadler, LCSW
• Danielle Nicole Safaty, PA-C

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Jul 12, 2023; 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.