Active NPI
Speech Quest Jcny
- Speech-Language Pathologist
- Jersey City, NJ
National Provider Identifier
1003304007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00799600
- Legal business name
- SPEECH QUEST JCNY
- Practice address
- 581 Jersey Ave
Jersey City, NJ 07302-2424 - Phone
- (201) 381-1607
- Fax
- (201) 216-9171
- NPI assigned
- Apr 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Briana Evans, CCC-SLP
- Title
- Owner
- Phone
- (347) 423-7631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00799600 | NJ | Primary |
Addresses
Primary practice location
581 Jersey Ave
Jersey City, NJ 07302-2424
Mailing address
292 Clerk St
Jersey City, NJ 07304-2715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356605570 | Other | NY | COMMERCIAL INSURANCE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Jersey City, NJ
- NPI 1437662491
-
- Speech-Language Pathologist
- Jersey City, NJ
- NPI 1649786195
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1003304007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "292 CLERK ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073042715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "581 JERSEY AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073022424",
"telephone_number": "201-381-1607",
"fax_number": "201-216-9171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH QUEST JCNY",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-25",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "BRIANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-423-7631",
"authorized_official_credential": "CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00799600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "1356605570",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.