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JENNA ROSE GUSTAFSON
NPI 1164092037
Speech-Language Pathologist in Ronkonkoma, NY

Active since July 01, 2021
624 HAWKINS AVE, RONKONKOMA, NY 11779(631) 240-3579 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jenna Rose Gustafson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA ROSE GUSTAFSON (NPI 1164092037) is an individual speech-language pathologist provider in Ronkonkoma, New York and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1164092037
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNA ROSE GUSTAFSON
Location Address624 HAWKINS AVERonkonkoma, NY 11779-2375
Mailing Address99 Forest DrJericho, NY 11753-2313 · (516) 587-4777
Phone(631) 240-3579
Sole ProprietorNo
Enumeration DateJuly 1, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1164092037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
624 HAWKINS AVE, Ronkonkoma, NY 11779
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIANNE RUHROLD
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
ELENA LUGO
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
KAILA C BARDOO M.S., CCC-SLP, TSSLD
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
ALYSSANDRA MICHELLE O'CONNELL MS
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
CAROLINA CHAER
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
SOPHIA WEISSMAN
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (631) 240-3579
MISS KRISTIN JOHANNA SCHOENHOFEN M.S., CCC-SLP, TSSLD
Speech-Language Pathologist
624 HAWKINS AVE
LAKE RONKONKOMA, NY 11779
Suffolk County (163) 124-0357
ANASTASIA EILEEN PACCIONE
Speech-Language Pathologist
624 HAWKINS AVE
RONKONKOMA, NY 11779
Suffolk County (631) 240-3579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Gustafson's NPI number?

The NPI number for Jenna Gustafson is 1164092037. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Jenna Gustafson located?

Jenna Gustafson practices at 624 Hawkins Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 240-3579.

What is Jenna Gustafson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Jenna Gustafson was last updated on July 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.