Active NPI
Jordan Dana Pizzarelli
- Speech-Language Pathologist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 035269
- Practice address
- 2321 E 69TH St
Brooklyn, NY 11234-6501 - Phone
- (347) 642-0173
- NPI assigned
- Dec 18, 2024
- Last updated
- Mar 21, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 035269 | NY | Primary |
Addresses
Primary practice location
2321 E 69TH St
Brooklyn, NY 11234-6501
Mailing address
2321 E 69TH St
Brooklyn, NY 11234-6501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36 Russ St
FL 3
Hartford, CT 06106-1520
Phone (855) 678-8887
600 Lake St
West Harrison, NY 10604-1505
Phone (914) 371-3510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035269 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Rehabilitation LLP | Current | Accepting new patients | |
| Prestige Rehab CT PLLC | Current | Accepting new patients |
Locations
36 Russ St
Fl 3
Hartford, CT 06106
Phone (301) 785-2099
500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796
1 Johnsarbor Dr W
Rochester, NY 14620
Phone (585) 532-7214
600 Lake St
West Harrison, NY 10604
Phone (914) 335-3394
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- De Witt, NY
- NPI 1346530169
-
- Physical Therapist
- Hartford, CT
- NPI 1619783495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1962210351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 E 69TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 E 69TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112346501",
"telephone_number": "347-642-0173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZARELLI",
"first_name": "JORDAN",
"middle_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-18",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "035269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.