Individual provider Active NPI

Janice L. Treubig, MS, CCC-SLP

  • Speech-Language Pathologist
  • Lodi, NJ
National Provider Identifier
1013053651
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
68 Avenue a Apt 1
Lodi, NJ 07644-1802
Phone
(862) 485-1266
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 NJ Primary

Addresses

Primary practice location

68 Avenue a Apt 1
Lodi, NJ 07644-1802

Mailing address

68 Avenue a Apt 1
Lodi, NJ 07644-1802
Phone (862) 485-1266

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108001918 NY Practitioner - Qualified Speech Language Pathologist 5193192987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chemung-Schuyler Counties Chapter, Nysarc, IncGroup PAC ID 3577980622, 17 clinicians

Practice addresses (Care Compare)

711 Sullivan St
Elmira, NY 14901-2322
Phone (607) 734-6151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014407NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Associates PLLC CurrentSince Dec 15, 2019 Accepting new patients
Chemung-Schuyler Counties Chapter, Nysarc, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Gaining Ground Therapy LLC Speech-Language Pathologist Current Accepting new patients

Locations

711 Sullivan St
Elmira, NY 14901
Phone (607) 535-6934

240 Oconnor St
Wellsville, NY 14895
Phone (585) 593-3005

Organizations & group practices 3

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1013053651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 AVENUE A APT 1",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441802",
            "telephone_number": "862-485-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 AVENUE A APT 1",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441802",
            "telephone_number": "862-485-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREUBIG",
        "first_name": "JANICE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.