Active NPI
Jennifer Alyse Eckstein, M.A.
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1801165600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 021586
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.