Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861980914 Individual Practitioner Female Practitioner

Jennifer Van Wickler

Speech-Language Pathologist • Syosset, NY

Professional Overview & Biography Verified Profile Summary

Jennifer Van Wickler is a registered healthcare professional specializing in Speech-Language Pathologist in Syosset, NY. Practice services are available at 99 PELL LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

99 Pell Ln

Syosset, NY 117912902

Telephone 7188473370
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Syosset, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
82 Specialists

Practicing in Syosset, NY (25106 Statewide)

Telehealth Adoption Rate
1.2% 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: 2024-01-02
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 0273931

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Emily Lam

Occupational Therapist

NPI 1073156857
Megan Costanza , MA SLP-CCC

Speech-Language Pathologist

NPI 1366986630

MASLPCCC

Elina Babayeva , OTR, L

Occupational Therapist

NPI 1447801899

Occupational Therapist Registered, L

Alison Nocco , SLP

Speech-Language Pathologist

NPI 1922542588

Speech-Language Pathologist

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 02, 2024

Registered at 99 PELL LN, SYOSSET, NY 117912902 (Tel: 7188473370)

📍
Updated Business Mailing Address January 02, 2024

Registered at 17 LINDEN ST, MASSAPEQUA, NY 117585124 (Tel: 5163823259)

👤
Provider Name / Credentials Updated January 02, 2024

Recorded as JENNIFER VAN WICKLER

NPI Profile Active April 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2018

Registered at 8650 109TH ST, RICHMOND HILL, NY 114181627 (Tel: 7188473370)

📍
Updated Business Mailing Address April 24, 2018

Registered at 321 E SHORE DR, MASSAPEQUA, NY 117588406 (Tel: 5163823259)

👤
Provider Name / Credentials Updated April 24, 2018

Recorded as JENNIFER AZZARA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2018

Speech-Language Pathologist (License #0273931 in NY)

🟢
Initial NPI Registration & Enumeration April 24, 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: 1861980914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2018
Last Update: January 02, 2024
Sole Proprietor: Yes

Mailing Address

17 Linden St

Massapequa, NY 117585124

Phone: 5163823259

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

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