Jaclyn Alexa Kukoff

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

151 Summit Ave
Summit, NJ 07901-2813

Phone

(908) 991-6423

NPI assigned

Jan 24, 2021

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

Electronic endpoints 1

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": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1952991903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROBIN RD",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595054",
            "telephone_number": "908-344-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012813",
            "telephone_number": "908-991-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKOFF",
        "first_name": "JACLYN",
        "middle_name": "ALEXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jackie@creativespeechsolutions.com",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Creative Speech Solutions LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work email",
            "address_1": "151 Summit Ave",
            "city": "Summit",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "079012813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lynn Wechsler Kramer, LCSW, LOTR
• Neil Kramer, MD
• Michael Steven Kreitzer, MD
• Mark J Krell, MD
• Jennifer Krone, MD
• Rachelle Stacy Kuperman, M.S. CCC-SLP
• Ilya Kupershtein, MD
• Maryna Kuznetsov, M.D.
• Chang Kweon, MD
• Yong S Kwon, MD

• Speech-Language Pathologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.