Jennifer Marie Brady, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0189121 Issued in NY

Practice address

555 Blooming Grove Tpke
New Windsor, NY 12553-7843

Phone

(845) 527-2089

Fax

(845) 569-3011

NPI assigned

Dec 29, 2009

Last updated

Apr 14, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

• Hudson Valley Speech & Swallowing Therapy PLLC

  • Speech-Language Pathologist
  • New Windsor, NY
  • NPI 1669798781
  Medicare reassignment Authorized official
• Hudson Valley Speech & Swallowing Therapy PLLC

  • Early Intervention Provider Agency
  • New Windsor, NY
  • NPI 1437701448
  NPD (past) Authorized official
• Hudson Valley Speech and Swallowing Therapy, PLLC

  • Hearing and Speech Clinic/Center
  • New Windsor, NY
  • NPI 1528442498
  NPD (past) Authorized official

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1891025623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SPLIT TREE DR",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537833",
            "telephone_number": "845-569-3011",
            "fax_number": "845-569-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BLOOMING GROVE TPKE",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125537843",
            "telephone_number": "845-527-2089",
            "fax_number": "845-569-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0189121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010958021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Blake
• Blissful Minds Mental Health Counseling
• Catina Bohmann
• Samuel E Book, MD
• Leila Boukhris, M.D.
• Charisma Brinkley, R.N.
• Lyndsay Flint Brischoux, LCSW
• Melinda Denise Brooks
• Stacey Browne
• Christina Bruckner, LCSW

• Speech-Language Pathologist in New Windsor, NY
• Providers in New Windsor, 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 Apr 14, 2010; 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.