Jenna Elise Rosenberg

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

400 W Main St Ste 152
Babylon, NY 11702-3009

Phone

(631) 669-7098

NPI assigned

Jun 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• South Shore Speech Language and Swallowing Disorders PLLC

  • Speech-Language Pathologist
  • Babylon, NY
  • NPI 1568798619
  NPD
• South Shore Center for Speech, Language and Swallowing Disorders, LLP

  • Early Intervention Provider Agency
  • Babylon, NY
  • NPI 1255579785
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1942949565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 GLACIER DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872316",
            "telephone_number": "631-559-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 152",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023009",
            "telephone_number": "631-669-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "JENNA",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Lorraine Rodriguez, LPN
• Seth Elliot Roman, LMSW
• Jennifer Jean Romano, M.S., CCC-SLP
• Marion B Rose, M.D.
• Jaclyn Rosen, MS, CNS, CDN
• Theresa Maria Rua, O.D.
• Alexandra M Rulli, LCSW
• Courtney Runkel
• Sarah Ruplin
• Ryan M. Cahill D.O. PC

• Speech-Language Pathologist in Babylon, NY
• Providers in Babylon, 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 Jun 1, 2022; 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.