Active NPI
Jennifer Gail Scalzo
- Speech-Language Pathologist
- Webster, NY
National Provider Identifier
1760630859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 58 017785
- Practice address
- 474 Sherborne Rd
Webster, NY 14580-8753 - Phone
- (585) 261-7213
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 58 017785 | NY | Primary |
Addresses
Primary practice location
474 Sherborne Rd
Webster, NY 14580-8753
Mailing address
474 Sherborne Road
Webster, NY 14580
Phone (585) 261-7213
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 |
|---|---|---|---|
| 58 017785 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1760630859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 SHERBORNE ROAD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "14580",
"telephone_number": "585-261-7213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 SHERBORNE RD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145808753",
"telephone_number": "585-261-7213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALZO",
"first_name": "JENNIFER",
"middle_name": "GAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58 017785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.