Jessica Intromasso

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00939400 Issued in NJ

Practice address

1 S Ridgedale Ave
East Hanover, NJ 07936-3142

Phone

(973) 885-4450

NPI assigned

Aug 3, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1649880816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIDGEDALE AVE APT 203",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S RIDGEDALE AVE",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363142",
            "telephone_number": "973-885-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTROMASSO",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00939400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jessicaintromasso@gmail.com",
            "affiliation": "N",
            "address_1": "12 Ridgedale Ave Apt 203",
            "city": "Morristown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079604369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hanover Park Regional High School District
• Ibrahim A Housri, M.D.
• Jung-San Carolyn Huang, DMD
• Gregory John Hunter, OPHTHALMIC DISPENSER
• Insight Clinical Services, LLC
• Carol Irving, MD
• Melvin Itty, DPT
• Molly Jacob, APN
• Lyssa Sorkin Jacobs, MD
• Nichole Cecilia Jenisch, R.N., A.P.N.,C

• Speech-Language Pathologist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.