Individual provider Active NPI

Jennifer Alyse Eckstein, M.A.

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1801165600
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021586 Issued in NY
Practice address
1221 E 14TH St
Brooklyn, NY 11230-4803
Phone
(718) 535-1958
Fax
(718) 535-2078
NPI assigned
Dec 22, 2011
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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 021586 NY Primary

Addresses

Primary practice location

1221 E 14TH St
Brooklyn, NY 11230-4803

Mailing address

129 Woodmere Blvd S
Woodmere, NY 11598-1821
Phone (516) 374-0276

Other practice location 1

129 Woodmere Blvd S
Woodmere, NY 11598-1821
Phone (516) 374-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1801165600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WOODMERE BLVD S",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981821",
            "telephone_number": "516-374-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304803",
            "telephone_number": "718-535-1958",
            "fax_number": "718-535-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Woodmere Blvd S",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981821",
            "country_code": "US",
            "telephone_number": "516-374-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECKSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "ALYSE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.