Active NPI
Jacqueline Sophia Kontorov, MS CCC-SLP, TSSLD
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1962017335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 031192
- Practice address
- 21 Hinckley PL
Brooklyn, NY 11218-3309 - Phone
- (929) 397-9200
- NPI assigned
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 031192 | NY | Primary |
Addresses
Primary practice location
21 Hinckley PL
Brooklyn, NY 11218-3309
Mailing address
21 Hinckley PL
Brooklyn, NY 11218-3309
Phone (917) 562-7272
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | schools.nyc.gov |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031192 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1962017335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HINCKLEY PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183309",
"telephone_number": "917-562-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 HINCKLEY PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112183309",
"telephone_number": "929-397-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONTOROV",
"first_name": "JACQUELINE",
"middle_name": "SOPHIA",
"credential": "MS CCC-SLP, TSSLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "031192",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "schools.nyc.gov",
"affiliation": "N",
"address_1": "21 Hinckley Pl",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112183309",
"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 Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.