Individual provider Active NPI

Izabela Grzebyk, CCC-SLP

  • Speech-Language Pathologist
  • Englishtown, NJ
National Provider Identifier
1023707320
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01093000 Issued in NJ
Practice address
21 Lasatta Ave Apt 804
Englishtown, NJ 07726-1604
Phone
(201) 757-2746
NPI assigned
May 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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 41YS01093000 NJ Primary

Addresses

Primary practice location

21 Lasatta Ave Apt 804
Englishtown, NJ 07726-1604

Mailing address

21 Lasatta Ave Apt 804
Englishtown, NJ 07726-1604
Phone (201) 757-2746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016002017 NJ Practitioner - Qualified Speech Language Pathologist 9638524382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS01093000NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Speech-Language Pathologist CurrentSince Aug 1, 2023 Accepting new patients

Locations

411 Hackensack Ave
Ste 200
Hackensack, NJ 07601
Phone (732) 987-3833

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1023707320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LASATTA AVE APT 804",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077261604",
            "telephone_number": "201-757-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LASATTA AVE APT 804",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077261604",
            "telephone_number": "201-757-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZEBYK",
        "first_name": "IZABELA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01093000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.