Organization Active NPI

BJM Speech Language Therapy & Rehabilitation Services, Inc.

  • Hearing and Speech Clinic/Center
  • Garner, NC
National Provider Identifier
1063770352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
2143 Issued in NC
Legal business name
BJM SPEECH LANGUAGE THERAPY & REHABILITATION SERVICES, INC.
Practice address
401 Aversboro Rd Ste 200
Garner, NC 27529-3633
Phone
(919) 332-1022
Fax
(888) 972-9297
NPI assigned
Apr 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Belinda J Madujibeya, MSP
Title
Speech Language Pathologist
Phone
(919) 662-0456

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2143 NC
Hearing and Speech Clinic/Center 261QH0700X 2143 NC Primary

Addresses

Primary practice location

401 Aversboro Rd Ste 200
Garner, NC 27529-3633

Mailing address

401 Aversboro Rd Ste 200
Garner, NC 27529-3633
Phone (919) 332-1022

National Provider Directory

National Provider Directory

Locations

401 Aversboro Rd
#200
Garner, NC 27529
Phone (919) 791-5532

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063770352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 AVERSBORO RD STE 200",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293633",
            "telephone_number": "919-332-1022",
            "fax_number": "888-972-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 AVERSBORO RD STE 200",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293633",
            "telephone_number": "919-332-1022",
            "fax_number": "888-972-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJM SPEECH LANGUAGE THERAPY & REHABILITATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MADUJIBEYA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-662-0456",
        "authorized_official_credential": "MSP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2143",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NC",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.