Active NPI
Jovanna Penza
- Speech-Language Pathologist
- Media, PA
National Provider Identifier
1689309080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- O1-0012215
- Practice address
- 1023 E Baltimore Pike Ste 303
Media, PA 19063-5126 - Phone
- (610) 449-1600
- NPI assigned
- Jul 19, 2022
- Last updated
- Apr 28, 2023
- 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 | O1-0012215 | DE | Primary |
Addresses
Primary practice location
1023 E Baltimore Pike Ste 303
Media, PA 19063-5126
Mailing address
1225 King James CT
Bear, DE 19701-4743
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1-0012215 | DE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1689309080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 KING JAMES CT",
"city": "BEAR",
"state": "DE",
"postal_code": "197014743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 E BALTIMORE PIKE STE 303",
"city": "MEDIA",
"state": "PA",
"postal_code": "190635126",
"telephone_number": "610-449-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENZA",
"first_name": "JOVANNA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DE",
"license": "O1-0012215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
- Constance Clay Pelesh, MS,LPC
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #07239)
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #02173)
- Edward M Penot, M.S.P.T.
- Angela Pensyl
- Kevin Rafael Perez Baez, LPC
- Mirza Perez-Martinez
- Lauren Perovich, PSYD
- Dana Nicole Perricone, OTR/L
- Peter N. Christie, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.