Individual provider Active NPI

Sharan Gail Jaffee, CCC-SLP

  • Speech-Language Pathologist
  • Mahopac, NY
National Provider Identifier
1811142995
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
008332-1 Issued in NY
Practice address
54 Stonewall Farm Rd
Mahopac, NY 10541-2619
Phone
(914) 403-6733
NPI assigned
Nov 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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 008332-1 NY Primary

Addresses

Primary practice location

54 Stonewall Farm Rd
Mahopac, NY 10541-2619

Mailing address

54 Stonewall Farm Rd
Mahopac, NY 10541-2619
Phone (914) 403-6733

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

LicenseStateTypeSpecialty
008332-1NYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1811142995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 STONEWALL FARM RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412619",
            "telephone_number": "914-403-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 STONEWALL FARM RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412619",
            "telephone_number": "914-403-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFEE",
        "first_name": "SHARAN",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "008332-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.