Individual provider Active NPI

Jennifer Lynn Roszkowski, M.A. CF-SLP

  • Speech-Language Pathologist
  • Jersey City, NJ
National Provider Identifier
1649786195
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TL-3012 Issued in NJ
Practice address
581 Jersey Ave
Jersey City, NJ 07302-2424
Phone
(201) 381-1607
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X TL-3012 NJ Primary

Addresses

Primary practice location

581 Jersey Ave
Jersey City, NJ 07302-2424

Mailing address

26 George St
Bayonne, NJ 07002-4222
Phone (201) 303-6270

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
TL-3012NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Quest Jcny Single Specialty Past 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": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513728000000",
    "number": "1649786195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GEORGE ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024222",
            "telephone_number": "201-303-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 JERSEY AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022424",
            "telephone_number": "201-381-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSZKOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "TL-3012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.