SJP Net Associates Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012336 Issued in NY

Legal business name

SJP NET ASSOCIATES INC

Practice address

501 Surf Ave
Apt. 9-L
Brooklyn, NY 11224-3551

Phone

(917) 589-0476

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Julie Polk, M.S.CCC-SLPNPI 1093969693

Title

President

Phone

(917) 589-0476

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Polk

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1093969693
  NPD (past) Authorized official

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1912458126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SURF AVE",
            "address_2": "APT. 9-L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243551",
            "telephone_number": "917-589-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SURF AVE",
            "address_2": "APT. 9-L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243551",
            "telephone_number": "917-589-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJP NET ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-589-0476",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03832331",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 24, 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.

Verify at the official NPI Registry.