Individual provider Active NPI

Jenine Goren

  • Speech-Language Pathologist
  • Claymont, DE
National Provider Identifier
1649452210
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
O1-0000363 Issued in DE
Practice address
1000 Pennsylvania Ave
Claymont, DE 19703-1200
Phone
(302) 792-3937
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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 O1-0000363 DE Primary

Addresses

Primary practice location

1000 Pennsylvania Ave
Claymont, DE 19703-1200

Mailing address

1000 Pennsylvania Ave
Claymont, DE 19703-1200
Phone (302) 792-3937

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services Inc Speech-Language Pathologist CurrentSince Sep 1, 2024 Accepting new patients
State of Delaware Past Accepting new patients

Locations

701 Foulk Rd
Ste 2A
Wilmington, DE 19803

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 2

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1649452210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PENNSYLVANIA AVE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031200",
            "telephone_number": "302-792-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PENNSYLVANIA AVE",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197031200",
            "telephone_number": "302-792-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOREN",
        "first_name": "JENINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DE",
            "license": "O1-0000363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.