Individual provider Active NPI

Jessica K Stragauskas, MS, CCC-SLP

  • Speech-Language Pathologist
  • Egg Harbor Township, NJ
National Provider Identifier
1912539552
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00924900 Issued in NJ
Practice address
10 Olivia Dr
Egg Harbor Township, NJ 08234-5787
Phone
(732) 552-9864
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 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 41YS00924900 NJ Primary

Addresses

Primary practice location

10 Olivia Dr
Egg Harbor Township, NJ 08234-5787

Mailing address

10 Olivia Dr
Egg Harbor Township, NJ 08234-5787
Phone (732) 552-9864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VA, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240227001733 NJ Practitioner - Qualified Speech Language Pathologist 7810332152 Reassigns benefits to 1 organization
I20240229000602 VA Practitioner - Qualified Speech Language Pathologist 7810332152 Reassigns benefits to 1 organization
I20240603003161 MD Practitioner - Qualified Speech Language Pathologist 7810332152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11084MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy of New Jersey PC Speech-Language Pathologist CurrentSince Feb 19, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Feb 26, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

1997 Annapolis Exchange Pkwy
Ste 300
Annapolis, MD 21401
Phone (410) 261-6439

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

250 Pehle Ave
Ste 200
Saddle Brook, NJ 07663
Phone (201) 474-2113

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

Organizations & group practices 2

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": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1912539552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OLIVIA DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345787",
            "telephone_number": "732-552-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OLIVIA DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345787",
            "telephone_number": "732-552-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAGAUSKAS",
        "first_name": "JESSICA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00924900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.