Noreen Jackson-Iacobellis, MS-CCC, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

010874 Issued in NY

Practice address

21 Fonda Rd
Rockville Centre, NY 11570-2705

Phone

(516) 764-5015

NPI assigned

Feb 3, 2011

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": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296691200000",
    "number": "1790081099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FONDA RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702705",
            "telephone_number": "516-764-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FONDA RD",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702705",
            "telephone_number": "516-764-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-IACOBELLIS",
        "first_name": "NOREEN",
        "name_prefix": "Ms.",
        "credential": "MS-CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "010874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rany Israel, P.A.
• Jay Itzkowitz, MD
• Asif Jabar
• Muataz Jaber, MD
• Kim Rene Jackman
• Jacobs Radiology PLLC
• Bradford Elliot Jacobs, PH.D.
• David T Jacobs, MD
• Donn R Jacobs, DDS
• Steven Andrew Jacobs, D.O.

• Speech-Language Pathologist in Rockville Centre, NY
• Providers in Rockville Centre, 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 3, 2011; 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.