Individual provider Active NPI

Jacqueline Sophia Kontorov, MS CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1962017335
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
031192 Issued in NY
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

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
031192NYMDSpeech-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.

Verify at the official NPI Registry.