Jennifer Schupak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010077-1 Issued in NY

Practice address

95 Park Ave
Port Washington, NY 11050-4035

Phone

(917) 817-4871

NPI assigned

Nov 24, 2008

Last updated

Nov 24, 2008By the provider in NPPES

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227484800000",
    "number": "1770738395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PARK AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 PARK AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504035",
            "telephone_number": "917-817-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUPAK",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010077-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micaela Schiff
• Paul Mark Schimel
• Charles A. Schnier, D.C.
• Roy Miles Schoen, MD
• Leslie D Schonbrun, PT, DPT
• Steven Matthew Sclafani
• Scott Rex, MD, LLC.
• Scott Weil, O.D.,P.C. (North Shore Vision Services)
• Seak Healthcare Corporation
• Lillian Wright Sears, MA CCC-SP

• Speech-Language Pathologist in Port Washington, NY
• Providers in Port Washington, 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 Nov 24, 2008; 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.