Adriana Patricia Jimenez Bahamon, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0210263-1 Issued in NY

Practice address

2700 Westchester Ave Ste 300
Purchase, NY 10577-2554

Phone

(914) 328-2868

Fax

(914) 328-2973

NPI assigned

Oct 24, 2011

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1760768782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 DRAKE AVE APT B3",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051713",
            "telephone_number": "718-650-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE STE 300",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772554",
            "telephone_number": "914-328-2868",
            "fax_number": "914-328-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ BAHAMON",
        "first_name": "ADRIANA",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0210263-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Sloan Jacoby, APRN
• Baraah Jafar, PHARMD
• Jessica Jagde
• Jan Zislis, M.D., PLLC
• James Jen, MD
• Saida Beatriz Jimenez Gonzalez
• Lillian Jimenez
• Jobin John, DPT
• Nicole Julian
• Juniper Therapy, LCSW, PLLC

• Speech-Language Pathologist in Purchase, NY
• Providers in Purchase, 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 Mar 22, 2022; 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.