Jennifer Robertson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

018597 Issued in NY

Practice address

14461 Roosevelt Ave
Flushing, NY 11354-6252

Phone

(718) 939-8700

Fax

(718) 939-0881

NPI assigned

Mar 3, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Shield of David, Inc.

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290
  NPD

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1831412949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14461 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546252",
            "telephone_number": "718-939-8700",
            "fax_number": "718-939-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14461 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546252",
            "telephone_number": "718-939-8700",
            "fax_number": "718-939-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RKD Medical PLLC
• Robert B. Rho, M.D., P.C.
• Robert S. Lee Therapeutic Massage, P.C.
• Toni Ann Roberti, L.AC.
• Susan Lloyd Roberts, O.T.R./L.
• Nii Amon Robertson, M.D.
• Robinson Physical Therapy PC
• Rivka D Robinson, PT, DPT
• Lee Anne Robison, MA
• Jovelyn Cadiz Roca, PT

• Speech-Language Pathologist in Flushing, NY
• Providers in Flushing, 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 Mar 3, 2010; 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.