Active NPI
Sarah Jane Glowazewski, CCC-SLP, TSSLD
- Speech-Language Pathologist
- Glen Spey, NY
National Provider Identifier
1801443205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1045 Proctor Rd
Glen Spey, NY 12737-5574 - Phone
- (845) 456-1100
- NPI assigned
- Aug 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 030236 | NY | |
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1045 Proctor Rd
Glen Spey, NY 12737-5574
Mailing address
1045 Proctor Rd
Glen Spey, NY 12737-5574
Phone (845) 456-1100
Other practice location 1
75 Crystal Run Rd Ste 201
Middletown, NY 10941-7010
Phone (845) 692-4391
Other practice location 2
2 Fletcher St
Goshen, NY 10924-1402
Phone (845) 294-8301
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030236 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1801443205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 PROCTOR RD",
"city": "GLEN SPEY",
"state": "NY",
"postal_code": "127375574",
"telephone_number": "845-456-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 PROCTOR RD",
"city": "GLEN SPEY",
"state": "NY",
"postal_code": "127375574",
"telephone_number": "845-456-1100"
}
],
"practiceLocations": [
{
"address_1": "75 Crystal Run Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "NY",
"postal_code": "109417010",
"country_code": "US",
"telephone_number": "845-692-4391",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Fletcher St",
"address_purpose": "LOCATION",
"city": "Goshen",
"state": "NY",
"postal_code": "109241402",
"country_code": "US",
"telephone_number": "845-294-8301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLOWAZEWSKI",
"first_name": "SARAH",
"middle_name": "JANE",
"credential": "CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-20",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "030236",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Spey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.