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JESSICA ANNE RANDALL MA, CCC-SLP, TSSLD
NPI 1679068829
Speech-Language Pathologist in Dix Hills, NY

Active since June 28, 2018
507 DEER PARK RD, DIX HILLS, NY 11746(631) 549-4900 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2025, Aug 22, 2022, Feb 2, 2020 and 1 more (4 updates tracked since 2018).

About Jessica Anne Randall Ma, Ccc-slp, Tssld NPPES

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

JESSICA ANNE RANDALL MA, CCC-SLP, TSSLD (NPI 1679068829) is an individual speech-language pathologist provider in Dix Hills, New York, licensed in New York (029004) and active in the NPI registry since June 2018. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1679068829
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJESSICA ANNE RANDALLCredential: MA, CCC-SLP, TSSLD
Location Address507 DEER PARK RDDix Hills, NY 11746-5207
Mailing Address251 BroadwayMassapequa Park, NY 11762-1844 · (516) 974-6905
Phone(631) 549-4900
Sole ProprietorNo
Enumeration DateJune 28, 2018
Last NPPES UpdateJune 7, 20254 updates tracked since enumeration
NPPES CertifiedJune 7, 2025
✔ NPI 1679068829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 029004
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
507 DEER PARK RD, Dix Hills, NY 11746
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Other Names 1

Former Name (1)Jessica Anne Diaz-perez Ma, Ccc-slp, Tssld

Secondary Practice Locations 3

Location 1307 Eagle AveWest Hempstead, NY 11552-3819 · Phone (516) 986-9580
Location 2125 E Bethpage RdPlainview, NY 11803-4228 · Phone (516) 731-5588
Location 3189 Wheatley RdGlen Head, NY 11545-2641 · Phone (516) 626-1075

Other Identifiers 1

Medicaid05979424NY

Other Providers at the Same Location NPPES

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

MS. MARINA ANNE SMITH PTA
Mechanotherapist
507 DEER PARK RD
DIX HILLS, NY 11746
Suffolk County (631) 549-4900

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 Jessica Randall's NPI number?

The NPI number for Jessica Randall is 1679068829. It was assigned to this individual provider in the NPPES registry on June 28, 2018. The provider is also known as Jessica Anne Diaz-Perez Ma, Ccc-Slp, Tssld.

Where is Jessica Randall located?

Jessica Randall practices at 507 Deer Park Rd, Dix Hills, NY 11746. The listed phone number is (631) 549-4900.

What is Jessica Randall'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 Jessica Randall was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.