Hackensack Speech Therapy Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

HACKENSACK SPEECH THERAPY INC

Practice address

20 Court St
Hackensack, NJ 07601-7048

Phone

(201) 740-2323

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Mohammad N Alqudah, OWNERNPI 1831512011

Title

SLP

Phone

(201) 740-2323

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Mohammad Nour Alqudah, SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1831512011

  NJ

  Medicare reassignment NPD Authorized official
• Sonia Boksh

  • Speech-Language Pathologist
  • Wyckoff, NJ
  • NPI 1912605957
  Medicare reassignment NPD

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1043032279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COURT ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017048",
            "telephone_number": "201-740-2323",
            "fax_number": "201-740-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COURT ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017048",
            "telephone_number": "201-740-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKENSACK SPEECH THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "ALQUDAH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "201-740-2323",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackensack Rheumatology LLC
• Hackensack Sleep & Pulmonary Center LLC
• Hackensack Sleep Center Partners LLC
• Hackensack Sleep Institute, LLC
• Hackensack Specialty Care Associates, PC
• Hackensack Surgery and Wound Care LLC
• Hackensack Surgery Center, LLC
• Hackensack University Medical Association PC
• Hackensack University Medical Center
• Hackensack University Medical Center

• Rehabilitation Clinic/Center in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.