Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093845166 Individual Practitioner Male Practitioner

Jerry A Perez , CCC-SLP

Speech-Language Pathologist • Woodside, NY

Professional Overview & Biography Verified Profile Summary

Jerry Perez, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Woodside, NY. Practice services are available at 3962 64TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3962 64th St

Woodside, NY 113773651

Telephone 3472623626
Associated Practice Facility / Clinic
🏢 Jppr Networking Services Facility NPI 1043468879

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Woodside, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
67 Specialists

Practicing in Woodside, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NY 021185

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 14, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2011

Registered at 3962 64TH ST, WOODSIDE, NY 113773651 (Tel: 3472623626)

📍
Updated Business Mailing Address September 14, 2011

Registered at PO BOX 770962, WOODSIDE, NY 113770962

👤
Provider Name / Credentials Updated September 14, 2011

Recorded as JERRY PEREZ, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2011

Speech-Language Pathologist (License #021185 in NY)

🟢
Initial NPI Registration & Enumeration March 06, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093845166
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2007
Last Update: September 14, 2011
Sole Proprietor: Yes

Mailing Address

Po Box 770962

Woodside, NY 113770962

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.