Individual provider Active NPI

Martha I De Jorge, MS, CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1669775607
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12130679 Issued in NY
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

Updated by the provider on Dec 14, 2010

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 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

LicenseStateTypeSpecialty
12130679NYMDSpeech-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.

Verify at the official NPI Registry.