Individual provider Active NPI

Elizabeth Sophia Fastuca, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Westfield, NJ
National Provider Identifier
1003706474
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01317300 Issued in NJ
Practice address
121 S Euclid Ave
Westfield, NJ 07090-2129
Phone
(908) 232-2900
NPI assigned
Jul 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS01317300 NJ Primary

Addresses

Primary practice location

121 S Euclid Ave
Westfield, NJ 07090-2129

Mailing address

30 Hampshire Rd
Midland Park, NJ 07432-1214
Phone (201) 956-9427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS01317300NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech & Hearing Associates LLC Speech-Language Pathologist CurrentSince Jul 13, 2025 Accepting new patients

Locations

121 S Euclid Ave
Westfield, NJ 07090
Phone (908) 232-2900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1003706474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HAMPSHIRE RD",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321214",
            "telephone_number": "201-956-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S EUCLID AVE",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070902129",
            "telephone_number": "908-232-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASTUCA",
        "first_name": "ELIZABETH",
        "middle_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01317300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.