Brian'S T.E.a.M. LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00470500 Issued in NJ

Legal business name

BRIAN'S T.E.A.M. LLC

Practice address

22 Riverview Dr
C/O Brian'S T.E.a.M.
Wayne, NJ 07470-3115

Phone

(973) 628-0400

Fax

(973) 627-1724

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kerry Cron, MS CCC SLP

Title

Owner/Speech Language Pathologist

Phone

(973) 628-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1033522669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RIVERVIEW DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703115",
            "telephone_number": "973-628-0400",
            "fax_number": "973-627-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RIVERVIEW DR",
            "address_2": "C/O BRIAN'S T.E.A.M.",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703115",
            "telephone_number": "973-628-0400",
            "fax_number": "973-627-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN'S T.E.A.M. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "CRON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "973-628-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00470500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.