Jenna Marie Restivo, M.A.-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018067-1 Issued in NY

Practice address

28 Maybury CT
Staten Island, NY 10306-3613

Phone

(718) 554-4777

NPI assigned

Apr 9, 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

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": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1760655880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROGERS PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103124119",
            "telephone_number": "917-881-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MAYBURY CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063613",
            "telephone_number": "718-554-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIVO",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.A.-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018067-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Research Partners PC
• Cindy Resnick, DPM
• Jennifer Resnick, LMSW
• Resource Medical Clinic LLC
• Christopher Restivo, CCC-SLP
• Jessica Marie Restivo, OTR/L
• Nathalie Restivo, MS
• Anjelique Maria Restrepo, RPA-C
• Jessica Restrepo, CASAC T
• Marisol Restrepo, M.S.

• Speech-Language Pathologist in Staten Island, NY
• Providers in Staten Island, 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 Jan 8, 2020; 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.