Active NPI
Jennifer Palladino, MS, CCC-SLP, TSSLD
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1932510492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 02477
- Practice address
- 9255 Shore Rd Apt 3B
Brooklyn, NY 11209-6536 - Phone
- (646) 243-7840
- NPI assigned
- May 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 02477 | NY | Primary |
Addresses
Primary practice location
9255 Shore Rd Apt 3B
Brooklyn, NY 11209-6536
Mailing address
9255 Shore Rd Apt 3B
Brooklyn, NY 11209-6536
Phone (646) 243-7840
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brooklyn |
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 |
|---|---|---|---|
| 02477 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1932510492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9255 SHORE RD APT 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096536",
"telephone_number": "646-243-7840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9255 SHORE RD APT 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112096536",
"telephone_number": "646-243-7840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALLADINO",
"first_name": "JENNIFER",
"credential": "MS, CCC-SLP, TSSLD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-17",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "02477",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brooklyn",
"affiliation": "N",
"address_1": "9255 Shore Rd Apt 3B",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112096536",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.