Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336633445 Individual Practitioner Female Practitioner

Jenna Marie Anzalone , CCC-SLP

Speech-Language Pathologist • Staten Island, NY

Professional Overview & Biography Verified Profile Summary

Jenna Anzalone, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Staten Island, NY. Practice services are available at 45 WAVERLY PLACE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45 Waverly Place

Staten Island, NY 10304

Telephone 9295608060

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Staten Island, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1116 Specialists

Practicing in Staten Island, NY (25106 Statewide)

Telehealth Adoption Rate
0.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 029071

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05814993 (NY)

Secondary Practice Locations

40 Merrill Ave

Staten Island, NY 103143312

Phone: 7183707529

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location September 22, 2022

Registered at 45 WAVERLY PLACE, STATEN ISLAND, NY 10304 (Tel: 9295608060)

📍
Updated Practice Location January 03, 2020

Registered at 40 MERRILL AVE, STATEN ISLAND, NY 103143312 (Tel: 7183707529)

👤
Provider Name / Credentials Updated January 03, 2020

Recorded as JENNA ANZALONE, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Speech-Language Pathologist (License #029071 in NY)

NPI Profile Active June 21, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2018

Registered at 3391 RICHMOND AVE, STATEN ISLAND, NY 103122025 (Tel: 7186089170)

📍
Updated Business Mailing Address June 21, 2018

Registered at 351 STAFFORD AVE, STATEN ISLAND, NY 103122856 (Tel: 7188734274)

👤
Provider Name / Credentials Updated June 21, 2018

Recorded as JENNA ANZALONE, CF-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2018

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration June 21, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336633445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2018
Last Update: September 22, 2022
Sole Proprietor: Yes

Mailing Address

351 Stafford Ave

Staten Island, NY 103122856

Phone: 7188734274

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.