Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174053987 Individual Practitioner Female Practitioner

Jane Kim

Speech-Language Pathologist • Whitestone, NY

Professional Overview & Biography Verified Profile Summary

Jane Kim is a registered healthcare professional specializing in Speech-Language Pathologist in Whitestone, NY. Practice services are available at 15050 14TH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15050 14th Rd

Whitestone, NY 113572609

Telephone 7187670091
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Whitestone, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.3 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
257 Specialists

Practicing in Whitestone, NY (25106 Statewide)

Telehealth Adoption Rate
0.0% 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: 2020-10-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 027917

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
05293105 (NY)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Madeleine Logan

Speech-Language Pathologist

NPI 1013482157
Keovmorkodh Kucharski , MS CF-SLP

Speech-Language Pathologist

NPI 1023426053

MSCFSLP

Julianna Ioannou , SLP-CF

Speech-Language Pathologist

NPI 1033637152

SLPCF

Despina Katsiaris , MS CCC-SLP, TSSLD

Speech-Language Pathologist

NPI 1033657747

MSCCCSLP, TSSLD

Gabrielle Derose

Speech-Language Pathologist

NPI 1033898978
Lauren Talty , CF-SLP, TSSLD

Student in an Organized Health Care Education/Training Program

NPI 1053035048

Clinical Fellow in Speech-Language Pathology, TSSLD

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address October 19, 2020

Registered at 8702 248TH ST, BELLEROSE, NY 114262008 (Tel: 9175027121)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2020

Speech-Language Pathologist (License #027917 in NY)

NPI Profile Active June 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2017

Registered at 15050 14TH RD, WHITESTONE, NY 113572609 (Tel: 7187670091)

📍
Updated Business Mailing Address June 14, 2017

Registered at 6539 108TH ST APT C6, FOREST HILLS, NY 113752213 (Tel: 9175027121)

👤
Provider Name / Credentials Updated June 14, 2017

Recorded as JANE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2017

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration June 14, 2017

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: 1174053987
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2017
Last Update: October 19, 2020
Sole Proprietor: No

Mailing Address

8702 248th St

Bellerose, NY 114262008

Phone: 9175027121

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.