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JACLYN LEGACY
NPI 1962945402
Speech-Language Pathologist in New York, NY

Active since December 01, 2016
1615 MADISON AVE, NEW YORK, NY 10029(212) 860-5803 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Legacy NPPES

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

JACLYN LEGACY (NPI 1962945402) is an individual speech-language pathologist provider in New York, New York, licensed in New York (015054-1) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1962945402
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJACLYN LEGACY
Location Address1615 MADISON AVENew York, NY 10029-3513
Mailing Address1615 Madison AveNew York, NY 10029-3513 · (212) 860-5803
Phone(212) 860-5803
Sole ProprietorYes
Enumeration DateDecember 1, 2016
✔ NPI 1962945402 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
License✔ Licensed in NY · 015054-1
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.
1615 MADISON AVE, New York, NY 10029
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Other Names 1

Former Name (1)Jaclyn Green

Other Providers at the Same Location NPPES 2

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

MR. RAMONCITO TIOSEJO DIZON RPT
Physical Therapist (Pediatrics)
1615 MADISON AVE
NEW YORK, NY 10029
New York County (212) 860-5803
JENNIFER LEE TANENBAUM M.S. CCC-SLP
Speech-Language Pathologist
1615 MADISON AVE
NEW YORK, NY 10029
New York County (212) 860-5803

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 Jaclyn Legacy's NPI number?

The NPI number for Jaclyn Legacy is 1962945402. It was assigned to this individual provider in the NPPES registry on December 1, 2016. The provider is also known as Jaclyn Green.

Where is Jaclyn Legacy located?

Jaclyn Legacy practices at 1615 Madison Ave, New York, NY 10029. The listed phone number is (212) 860-5803.

What is Jaclyn Legacy'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 Jaclyn Legacy was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.