Active NPI
Howard Gary Jastrow, MA, CCC
- Speech-Language Pathologist
- Forest Hills, NY
National Provider Identifier
1851431985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012071-1
- Practice address
- 7020 108TH St
Apt 9F
Forest Hills, NY 11375-4449 - Phone
- (718) 520-1334
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012071-1 | NY | Primary |
Addresses
Primary practice location
7020 108TH St
Apt 9F
Forest Hills, NY 11375-4449
Mailing address
7020 108TH St
Apt 9F
Forest Hills, NY 11375-4449
Phone (718) 520-1334
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012071-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Brooklyn, NY
- NPI 1285799684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1851431985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7020 108TH ST",
"address_2": "APT 9F",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754449",
"telephone_number": "718-520-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7020 108TH ST",
"address_2": "APT 9F",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754449",
"telephone_number": "718-520-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASTROW",
"first_name": "HOWARD",
"middle_name": "GARY",
"name_prefix": "Mr.",
"credential": "MA, CCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012071-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.