Jesenia Gonzalez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017141-01 Issued in NY

Practice address

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Phone

(631) 473-4284

NPI assigned

Nov 3, 2008

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

Other names 1

• Mrs. Jesenia Gonzalez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1760635734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761217",
            "telephone_number": "631-473-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761217",
            "telephone_number": "631-473-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "JESENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017141-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESENIA",
            "last_name": "GONZALEZ",
            "prefix": "MRS.",
            "credential": "MA CCC/SLP TSHH, BE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Corey Golino, PHARM D
• Mehran Golpariani, MD
• Andrea Gomez Pereira, PHYSICIAN ASSISTANT
• Kayla Elizabeth Goncalves
• Caitlin Angelica Gonzalez
• Nithya Gopal, M.D.
• Dinamarie Gordon, R.N.
• Kinjal Amit Gosalia, STUDENT
• Daniel Gottfried, APRN, FNP
• Thomas Grandville, D.D.S.

• Speech-Language Pathologist in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.