Individual provider Active NPI

Jaylin Cole

  • Speech-Language Pathologist
  • Jamaica, NY
National Provider Identifier
1841802170
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
17354 104TH Ave
Jamaica, NY 11433-1308
Phone
(347) 869-6512
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 Primary

Addresses

Primary practice location

17354 104TH Ave
Jamaica, NY 11433-1308

Mailing address

17354 104TH Ave
Jamaica, NY 11433-1308
Phone (347) 869-6512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128002360 NY Practitioner - Qualified Speech Language Pathologist 2466800602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Speak Your Legacy IncGroup PAC ID 9133595010, 3 clinicians

Practice addresses (Care Compare)

714 S 8TH St
Lindenhurst, NY 11757-5521
Phone (631) 505-0576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speak Your Legacy Inc. CurrentSince Dec 30, 2025 Accepting new patients
Speak Your Legacy Inc. Speech-Language Pathologist CurrentSince Dec 30, 2025 Accepting new patients
Prestige Rehab LLC Speech-Language Pathologist CurrentSince Nov 6, 2023 Accepting new patients
Prestige Rehab Ny LLC Speech-Language Pathologist CurrentSince Sep 8, 2024 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1841802170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17354 104TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331308",
            "telephone_number": "347-869-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17354 104TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114331308",
            "telephone_number": "347-869-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "JAYLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.