Individual provider Active NPI

Jessebell Reyes-Cocuzzo, M.S., CCC-SLP/TSSLD

  • Speech-Language Pathologist
  • Fresh Meadows, NY
National Provider Identifier
1932354925
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016381-1 Issued in NY
Practice address
19824 50TH Ave
Fresh Meadows, NY 11365-1308
Phone
(347) 563-8647
NPI assigned
Nov 18, 2008
Last updated
Sep 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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 016381-1 NY Primary

Addresses

Primary practice location

19824 50TH Ave
Fresh Meadows, NY 11365-1308

Mailing address

19824 50TH Ave
Fresh Meadows, NY 11365-1308
Phone (347) 563-8647

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

LicenseStateTypeSpecialty
016381-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1932354925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19824 50TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651308",
            "telephone_number": "347-563-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19824 50TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651308",
            "telephone_number": "347-563-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-COCUZZO",
        "first_name": "JESSEBELL",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP/TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016381-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.