Active NPI
Martha I De Jorge, MS, CCC-SLP
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1669775607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12130679
- Practice address
- 465 Grand St. 2ND FL.
Hand in Hand Development, Inc.
New York, NY 10002 - Phone
- (212) 420-1999
- NPI assigned
- Dec 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12130679 | NY | Primary |
Addresses
Primary practice location
465 Grand St. 2ND FL.
Hand in Hand Development, Inc.
New York, NY 10002
Mailing address
465 Grand St. 2ND FL.
Hand in Hand Development, Inc.
New York, NY 10002
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12130679 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292284800000",
"number": "1669775607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 GRAND ST. 2ND FL.",
"address_2": "HAND IN HAND DEVELOPMENT, INC.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 GRAND ST. 2ND FL.",
"address_2": "HAND IN HAND DEVELOPMENT, INC.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10002",
"telephone_number": "212-420-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JORGE",
"first_name": "MARTHA",
"middle_name": "I",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2010-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "12130679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.