Individual provider Active NPI

Carol Krakower, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Sea Girt, NJ
National Provider Identifier
1003901588
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
YS03784 Issued in NJ
Practice address
2130 Highway 35
Suite 311
Sea Girt, NJ 08750
Phone
(732) 800-3001
Fax
(732) 800-3002
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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 YS03784 NJ Primary

Addresses

Primary practice location

2130 Highway 35
Suite 311
Sea Girt, NJ 08750

Mailing address

2130 Highway 35
Suite 311
Sea Girt, NJ 08750
Phone (732) 800-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630000199 NJ Practitioner - Qualified Speech Language Pathologist 8921146713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1540 Route 138
Suite 101
Wall, NJ 07719-3766
Phone (732) 800-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
YS03784NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Speech and Language Speech-Language Pathologist CurrentSince Jan 1, 2016 Accepting new patients

Locations

2130 Highway 35
Ste 311
Sea Girt, NJ 08750
Phone (732) 800-3001

1540 State Route 138
Ste 101
Wall, NJ 07719
Phone (732) 280-9685

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1003901588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "SUITE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 HIGHWAY 35",
            "address_2": "SUITE 311",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "08750",
            "telephone_number": "732-800-3001",
            "fax_number": "732-800-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKOWER",
        "first_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YS03784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sea Girt, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.