Organization Active NPI

Jason Dwyer

  • Home Health Agency
  • Brookhaven, GA
National Provider Identifier
1831739002
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JASON DWYER
Practice address
3519 Sunderland Way NE
Brookhaven, GA 30319-1953
Phone
(781) 690-6723
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Dwyer
Title
Speech Language Pathologist
Phone
(781) 690-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3519 Sunderland Way NE
Brookhaven, GA 30319-1953

Mailing address

3519 Sunderland Way NE
Brookhaven, GA 30319-1953

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1831739002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 SUNDERLAND WAY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 SUNDERLAND WAY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191953",
            "telephone_number": "781-690-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON DWYER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "781-690-6723"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.