Organization Active NPI

Speech Success

  • Speech-Language Pathologist
  • Emerson, NJ
National Provider Identifier
1023720281
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH SUCCESS
Practice address
12 Lincoln Blvd Ste 103
Emerson, NJ 07630-1173
Phone
(201) 247-2696
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Dr. Jacqueline Ahrens, SLPDNPI 1427674423
Title
Doctor of Speech-Language Pathology
Phone
(201) 247-2696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

12 Lincoln Blvd Ste 103
Emerson, NJ 07630-1173

Mailing address

885 Oradell Ave
Oradell, NJ 07649-1924
Phone (201) 247-2696

National Provider Directory

National Provider Directory

Locations

12 Lincoln Blvd
Ste 103
Emerson, NJ 07630
Phone (201) 247-2696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1023720281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 ORADELL AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "076491924",
            "telephone_number": "201-247-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LINCOLN BLVD STE 103",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301173",
            "telephone_number": "201-247-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "AHRENS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "DOCTOR OF SPEECH-LANGUAGE PATHOLOGY",
        "authorized_official_telephone_number": "201-247-2696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLPD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.