NPI Code Detail JSON Logo

1487010948 NPI number — JEANELLE SANTORO ED.D, CCC-SLPTSSLDBE

NPI Number: 1487010948
Health Care Provider/Practitioner: JEANELLE SANTORO ED.D, CCC-SLPTSSLDBE

Information about “1487010948” NPI (JEANELLE SANTORO ED.D, CCC-SLPTSSLDBE) exists in 1487010948 in HTML format HTML  |  1487010948 in plain Text format TXT  |  1487010948 in PDF (Portable Document Format) PDF  |  1487010948 in an XML format XML  formats.

NPI Number : 1487010948 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487010948",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SANTORO",
    "FirstName": "JEANELLE",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ED.D, CCC-SLPTSSLDBE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 LARKIN CTR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YONKERS",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10701-7044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-604-9360",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1 LARKIN CTR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "YONKERS",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10701-7044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-604-9360",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/13/2016",
    "LastUpdateDate": "10/21/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "028303-01",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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