Jennie Younjin Miller, S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017949 Issued in NY

Practice address

251 E Townline Rd
West Nyack, NY 10994-2823

Phone

(914) 907-4839

NPI assigned

Oct 21, 2008

Last updated

Jan 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Youn Jin Park Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1942452032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 WINTHROP WOODS RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845025",
            "telephone_number": "203-954-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E TOWNLINE RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942823",
            "telephone_number": "914-907-4839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIE",
        "middle_name": "YOUNJIN",
        "credential": "S.L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUN JIN",
            "last_name": "PARK",
            "credential": "S.L.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen M Menitove, MD
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• Samantha Diana Midulla, M.A.
• Dean Miller, M.D.
• Julian Miller, LMHC
• Rachel Josephine Miller, N.P.
• Athena Milonas, LMSW
• Sima Mithani, M.D.
• MND Chiropractic, PC

• Speech-Language Pathologist in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.