Active NPI
Beth Jones, MS, CCC-SLP
- Speech-Language Pathologist
- Fairfield, CT
National Provider Identifier
1932221744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004063
- Practice address
- 1931 Black Rock Tpke
Fairfield, CT 06825-3506 - Phone
- (203) 384-8681
- Fax
- (203) 384-0722
- NPI assigned
- Apr 4, 2007
- Last updated
- Mar 13, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 004063 | CT | Primary |
Addresses
Primary practice location
1931 Black Rock Tpke
Fairfield, CT 06825-3506
Mailing address
1931 Black Rock Tpke
Attn Kelly Liscinsky
Fairfield, CT 06825-3506
Phone (203) 384-8681
Other names 1
- Beth Newmark
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004063 | CT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1932221744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"address_2": "ATTN KELLY LISCINSKY",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-384-8681",
"fax_number": "203-384-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253506",
"telephone_number": "203-384-8681",
"fax_number": "203-384-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BETH",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "004063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "NEWMARK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fairfield, CT
- Joanne Johnson-Krasnow, PT
- Dennis Johnson, PHAMD
- Joseph Junior Johnson, ND
- Lindsay Johnson, MSOT
- Pandora L Johnson, LCSW
- Erin Jones, PT, DPT
- Jong Um DDS Inc
- Jong Um DDS, Inc (D & L Dental Associates)
- Joseph Zerella DMD, MDS, LLC
- Joseph Zerella DMD, MDS, LLC (Fairfield County Implants & Periodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.