Individual provider Active NPI

Rebecca Ariel Granovskaya, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Old Bridge, NJ
National Provider Identifier
1053273144
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS01340100 Issued in NJ
Practice address
69 County Rd 516 FL 2
Old Bridge, NJ 08857-1416
Phone
(732) 841-1434
NPI assigned
Nov 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 41YS01340100 NJ Primary

Addresses

Primary practice location

69 County Rd 516 FL 2
Old Bridge, NJ 08857-1416

Mailing address

158 Redpine Loop
Old Bridge, NJ 08857-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
41YS01340100NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1764115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1053273144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 REDPINE LOOP",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 COUNTY RD 516 FL 2",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571416",
            "telephone_number": "732-841-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANOVSKAYA",
        "first_name": "REBECCA",
        "middle_name": "ARIEL",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-26",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS01340100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.