Active NPI
Jane Elizabeth Muck, M.A.
- Speech-Language Pathologist
- Perry, NY
National Provider Identifier
1982822706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 003809-1
- Practice address
- 7059 Standpipe Rd
Perry, NY 14530-9616 - Phone
- (585) 237-2230
- Fax
- (585) 237-5949
- NPI assigned
- Apr 24, 2007
- 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 | 003809-1 | NY | Primary |
Addresses
Primary practice location
7059 Standpipe Rd
Perry, NY 14530-9616
Mailing address
24 Park Rd W
Castile, NY 14427-9641
Phone (585) 493-2039
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003809-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982822706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PARK RD W",
"city": "CASTILE",
"state": "NY",
"postal_code": "144279641",
"telephone_number": "585-493-2039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7059 STANDPIPE RD",
"city": "PERRY",
"state": "NY",
"postal_code": "145309616",
"telephone_number": "585-237-2230",
"fax_number": "585-237-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCK",
"first_name": "JANE",
"middle_name": "ELIZABETH",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "003809-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.