Active NPI
Jenna Stewart, M.A, CCC-SLP, TSSLD
- Speech-Language Pathologist
- Elmont, NY
National Provider Identifier
1922528819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 033440
- Practice address
- 1880 Dutch Broadway
Elmont, NY 11003-4246 - Phone
- (516) 326-5550
- NPI assigned
- Jun 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 08464 | MD | |
| Speech-Language Pathologist | 235Z00000X | 033440 | NY | Primary |
Addresses
Primary practice location
1880 Dutch Broadway
Elmont, NY 11003-4246
Mailing address
1880 Dutch Broadway
Elmont, NY 11003-4246
Other practice location 1
14409 Greenview Dr Ste 102
Laurel, MD 20708-4213
Phone (301) 498-8100
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08464 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Associated Professional Rehabilitation Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Laurel, MD
- NPI 1275639155
Speech-Language Pathologist
-
- Physical Therapist
- Laurel, MD
- NPI 1386744035
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1922528819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1880 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1880 DUTCH BROADWAY",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034246",
"telephone_number": "516-326-5550"
}
],
"practiceLocations": [
{
"address_1": "14409 Greenview Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Laurel",
"state": "MD",
"postal_code": "207084213",
"country_code": "US",
"telephone_number": "301-498-8100",
"fax_number": "301-498-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "JENNA",
"credential": "M.A, CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-22",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08464",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "033440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.