Organization Active NPI

Gift of the Gab Therapy LLC

  • Speech-Language Pathologist
  • Lakewood, NJ
National Provider Identifier
1053888305
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
GIFT OF THE GAB THERAPY LLC
Practice address
140 Regent Dr
Lakewood, NJ 08701-3026
Phone
(908) 692-6726
Fax
(732) 399-9360
NPI assigned
Oct 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Yehudis Brown, MS CCC-SLP
Title
Member
Phone
(908) 692-6726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

140 Regent Dr
Lakewood, NJ 08701-3026

Mailing address

140 Regent Dr
Lakewood, NJ 08701-3026
Phone (908) 692-6726

Other identifiers 2

IdentifierTypeStateIssuer
1881992766OtherNPI
1881992766OtherNJNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1053888305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 REGENT DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013026",
            "telephone_number": "908-692-6726",
            "fax_number": "732-399-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 REGENT DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013026",
            "telephone_number": "908-692-6726",
            "fax_number": "732-399-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFT OF THE GAB THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "YEHUDIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-692-6726",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881992766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881992766",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.