Kristen Conover
Individual provider Active NPI Speech-Language Pathologist · Ocean City, NJ
NPI 1033570775 · NPPES record last updated Mar 8, 2016
Key facts
- NPI
- 1033570775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2201 Bay Ave
Ocean City, NJ 08226-2568 - Phone
- (609) 399-8505
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171229000155 | NJ | Practitioner - Qualified Speech Language Pathologist | 8729346457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995
407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
2201 Bay Ave
Ocean City, NJ 08226-2568
Mailing address
18 S Holly Hills Dr
Somers Point, NJ 08244-1236
Other providers in Ocean City, NJ
- Jessie Lynn Chism
- City of Ocean City
- Patricia A Clark
- Shelby Lynne Clark
- Coastal Infectious Disease Consultants, LLC
- Counseling by the Sea, LLC
- Christine Delorenzo
- Kathleen Patricia Denesha
- Jennifer Deuel
- Christopher Thomas Devaney Sr.
All providers in Ocean City, NJ · Speech-Language Pathologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.