Individual provider Active NPI

Jayme Woghin, CF SLP MA TSSLD

  • Speech-Language Pathologist
  • Babylon, NY
National Provider Identifier
1780222562
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
400 W Montauk Hwy Ste 152
Babylon, NY 11702-3009
Phone
(631) 669-7098
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NY Primary

Addresses

Primary practice location

400 W Montauk Hwy Ste 152
Babylon, NY 11702-3009

Mailing address

2118 Ellen Dr
Merrick, NY 11566-5406
Phone (516) 492-0873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260525000329 NY Practitioner - Qualified Speech Language Pathologist 2163992744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

124 Abigayle Row
Scott, LA 70583-8909

137 Rue Village Rd
Maurice, LA 70555-3453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Speech Language and Swallowing Disorders PLLC Speech-Language Pathologist CurrentSince Dec 15, 2019 Accepting new patients
South Shore Center for Speech, Language and Swallowing Disorders, LLP PastSince Dec 15, 2019 Accepting new patients

Locations

400 W Montauk Hwy
Ste 152
Babylon, NY 11702
Phone (631) 669-7098

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1780222562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 ELLEN DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665406",
            "telephone_number": "516-492-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MONTAUK HWY STE 152",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-669-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGHIN",
        "first_name": "JAYME",
        "credential": "CF SLP MA TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.