Pascack Valley Speech and Language Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00641700 Issued in NJ

Legal business name

PASCACK VALLEY SPEECH AND LANGUAGE SERVICES

Practice address

29 Jefferson PL
Montvale, NJ 07645-2338

Phone

(201) 264-4657

Fax

(201) 307-8847

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Robert Eric Waldron, MS, CCC-SLPNPI 1437446978

Title

Speech Language Pathologist

Phone

(201) 264-4657

Specialties & licenses 1

Addresses

Practitioners 1

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

• Robert Eric Waldron, MS, CCC-SLP

  • Speech-Language Pathologist
  • Montvale, NJ
  • NPI 1437446978
  NPD (past) Authorized official

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1053608596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 JEFFERSON PL",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452338",
            "telephone_number": "201-264-4657",
            "fax_number": "201-307-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 JEFFERSON PL",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076452338",
            "telephone_number": "201-264-4657",
            "fax_number": "201-307-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCACK VALLEY SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "201-264-4657",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00641700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Stone Pharmacy
• Trudy Pacifico, DPT
• Steven R Papa, LAT, ATC
• Cindy Parnes
• Pascack Valley Regional High School Board of Education
• Dipal Patel, P.T.
• Shivani Bharat Patel, D.O.
• Pathmark Stores Inc
• PCN Medical Group, LLC
• Iwona Pedatella, PA-C

• Speech-Language Pathologist in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; 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.